Individual provider Active NPI

Vickie L Lathero, CRNP

  • Acute Care Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1669431813
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP008783 Issued in PA
Practice address
20 Sheraton Dr
Altoona, PA 16601-9316
Phone
(814) 946-5411
Fax
(814) 940-8417
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN311834L PA
Acute Care Nurse Practitioner 363LA2100X SP008783 PA Primary

Addresses

Primary practice location

20 Sheraton Dr
Altoona, PA 16601-9316

Mailing address

201 Chestnut Ave
Altoona, PA 16601-4927
Phone (814) 946-5411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vickie.l.lathero@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060106000180 PA Practitioner - Nurse Practitioner 3375566284 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN311834LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vlathero148418@upmc.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1669431813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014927",
            "telephone_number": "814-946-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SHERATON DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166019316",
            "telephone_number": "814-946-5411",
            "fax_number": "814-940-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHERO",
        "first_name": "VICKIE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN311834L",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP008783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vickie.l.lathero@upmcdirect.com",
            "affiliation": "N",
            "address_1": "20 Sheraton Dr",
            "city": "Altoona",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166019316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.