Latrice Express

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

LATRICE EXPRESS

Practice address

101 Ravines Edge CT
Etna, OH 43062-6003

Phone

(614) 702-8484

NPI assigned

Jun 1, 2023

Last updated

Jun 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latrice SheppardNPI 1407541170

Title

Owner

Phone

(614) 702-8484

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latrice Sheppard

  • Non-emergency Medical Transport (VAN)
  • Etna, OH
  • NPI 1407541170
  NPD Authorized official

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1619660867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RAVINES EDGE CT",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430626003",
            "telephone_number": "614-702-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RAVINES EDGE CT",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430626003",
            "telephone_number": "614-702-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATRICE EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-702-8484"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Scott Jemson, PTA
• Laura Lee Johnson, RN
• Khanal & Sons Group LLC (Goldstar Home Health Care)
• Susan Marie Kibbey, RN
• Laura Landry
• Donna Mae Lewis, CNS
• Megan Lewis, MA, CCC-SLP
• Kerri S Marks, PT
• Christopher P. McDonough, D.C.
• Nicole McFerren, COTA/L

• Driver in Etna, OH
• Providers in Etna, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.