Latanya C Tunstall-Robinson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35725 Issued in MO

Practice address

5615 Pershing Ave
Suite 26
Saint Louis, MO 63112-1757

Phone

(314) 361-0477

Fax

(314) 361-3771

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Amara Professional Corporation

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1255747267
  Medicare reassignment NPD
• Comprehensive Behavioral Health Center of St. Clair County, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Saint Louis, IL
  • NPI 1720094345
  NPD

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1639213366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 LACLEDE AVE",
            "address_2": "343",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082103",
            "telephone_number": "314-361-0477",
            "fax_number": "314-361-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 PERSHING AVE",
            "address_2": "SUITE 26",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121757",
            "telephone_number": "314-361-0477",
            "fax_number": "314-361-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNSTALL-ROBINSON",
        "first_name": "LATANYA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "35725",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036-058285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serhat Tunc, M.D.
• Harrison Tung, DPT
• Rebecca Tung, OTR/L
• Thomas H Tung, MD
• Kellie Kathryn Tunney, OTR/L
• George Turabelidze, M.D.
• Aldin Turan, CRNA
• Senija Turan
• Christina Turek
• Katherine Ann Turin, LCSW

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.