Individual provider Active NPI

Latosha Laird, AGNP-C

  • Adult Health Nurse Practitioner
  • Byram, MS
National Provider Identifier
1609668540
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
907449 Issued in MS
Practice address
130 Southpointe Dr Ste D
Byram, MS 39272-5528
Phone
(601) 863-0258
Fax
(601) 990-4288
NPI assigned
May 19, 2025
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 907449 MS Primary
Gerontology Nurse Practitioner 363LG0600X 907449 MS

Addresses

Primary practice location

130 Southpointe Dr Ste D
Byram, MS 39272-5528

Mailing address

130 Southpointe Dr Ste D
Byram, MS 39272-5528
Phone (601) 863-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230003759 MS Practitioner - Nurse Practitioner 1850767948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

409 Bald Cypress CV
Terry, MS 39170-6002

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511

PO Box
Lafayette, LA 70505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
907449MSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calora Health Services LLC CurrentSince Sep 24, 2025 Accepting new patients
Proficient Health & Wellness Clinic LLC CurrentSince Dec 1, 2025 Accepting new patients
Elite Case Management Agency LLC CurrentSince Aug 7, 2022 Accepting new patients
Proficient Healthcare Staffing LLC CurrentSince May 25, 2025 Accepting new patients

Locations

130 Southpointe Dr
Ste D
Byram, MS 39272

6791 S Siwell Rd
Ste B
Byram, MS 39272
Phone (601) 863-0258

1450 County Farm Rd
Raymond, MS 39154
Phone (601) 863-0258

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1609668540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHPOINTE DR STE D",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392725528",
            "telephone_number": "601-863-0258",
            "fax_number": "601-990-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SOUTHPOINTE DR STE D",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392725528",
            "telephone_number": "601-863-0258",
            "fax_number": "601-990-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "LATOSHA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "907449",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "907449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byram, MS

Sources for this page

Verify at the official NPI Registry.