G & M Healthcare Services

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

G & M HEALTHCARE SERVICES

Practice address

805 N Beech St Ste 3
Tallulah, LA 71282-3809

Phone

(318) 493-5120

NPI assigned

Nov 15, 2021

Last updated

Dec 16, 2021By 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

Latonya Thomas, APRNNPI 1710596192

Title

Owner

Phone

(314) 493-5120

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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.

• Latonya Richardson Thomas, FNP-C

  • Family Nurse Practitioner
  • Tallulah, LA
  • NPI 1710596192
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1629734520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N BEECH ST STE 3",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N BEECH ST STE 3",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809",
            "telephone_number": "318-493-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & M HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-493-5120",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "214886",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thms_ltny@yahoo.com",
            "affiliation": "N",
            "address_1": "805 N Beech St Ste 3",
            "city": "Tallulah",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712823809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eddie Fountain
• Latayatacha O Freeman-Ross, FNP
• Fresenius Medical Care Madison Parish Dialysis Cen (FMC Madison Parish Dialysis Center)
• Zellanda Frost
• Megan Fudge
• Takenya Gales
• Annie Gibson
• Shedana Gilmore
• Alexis Monae Glover
• Zakyrian Glover

• Primary Care Nurse Practitioner in Tallulah, LA
• Providers in Tallulah, LA by specialty
• Primary Care Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.