Active NPI
Latonya Renee Banks, APRN
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013776
- Practice address
- 1151 S 4TH St Ste 206
Louisville, KY 40203-3101 - Phone
- (502) 808-1048
- Fax
- (866) 951-0629
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013776 | KY | Primary |
Addresses
Primary practice location
1151 S 4TH St Ste 206
Louisville, KY 40203-3101
Mailing address
12024 Lavenia LN Ste 105
Louisville, KY 40272-6100
Phone (502) 302-9241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191108001185 | KY | Practitioner - Nurse Practitioner | 7315379518 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kiosk Medicine Kentucky LLC
Practice addresses (Care Compare)
3039 Breckenridge LN
Louisville, KY 40220-2101
Phone (502) 451-4555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013776 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derby City Medical Partners, LLC | Family | Current | Accepting new patients |
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| Pearl Medical Practice PLLC | Past | Accepting new patients |
Locations
1151 S 4th St
Ste 206
Louisville, KY 40203
Phone (502) 808-1048
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
2902 Bardstown Rd
Ste D
Louisville, KY 40205
Phone (502) 808-1048
Interoperability endpoints
- latonya.banks@krogerhealth.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Louisville, KY
- NPI 1669841631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1629627773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12024 LAVENIA LN STE 105",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402726100",
"telephone_number": "502-302-9241",
"fax_number": "502-456-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 S 4TH ST STE 206",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402033101",
"telephone_number": "502-808-1048",
"fax_number": "866-951-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "LATONYA",
"middle_name": "RENEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.