Individual provider Active NPI

Latasha Shaneil Drain, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1679049290
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139379 Issued in TX
Practice address
9209 Elam Rd
Dallas, TX 75217-4179
Phone
(469) 780-2211
Fax
(469) 687-9955
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139379 TX Primary

Addresses

Primary practice location

9209 Elam Rd
Dallas, TX 75217-4179

Mailing address

1017 Canyon Ridge Dr
Desoto, TX 75115-3820
Phone (318) 230-3492

Other practice location 1

4701 Samuell Blvd
Dallas, TX 75228-6828
Phone (972) 861-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190102001216 TX Practitioner - Nurse Practitioner 1254676760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9209 Elam Rd
Dallas, TX 75217-4179
Phone (469) 780-2211

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Oct 29, 2018 Accepting new patients

Locations

4701 Samuell Blvd
Dallas, TX 75228
Phone (214) 381-7070

9209 Elam Rd
Dallas, TX 75217
Phone (214) 309-0100

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

Organizations & group practices 1

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": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1679049290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CANYON RIDGE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153820",
            "telephone_number": "318-230-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 ELAM RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174179",
            "telephone_number": "469-780-2211",
            "fax_number": "469-687-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Samuell Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752286828",
            "country_code": "US",
            "telephone_number": "972-861-5611",
            "fax_number": "214-381-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAIN",
        "first_name": "LATASHA",
        "middle_name": "SHANEIL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.