Latisha Nelms-Tucker

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

1601 S Boulder Hwy Apt 6207
Henderson, NV 89015-8537

Phone

(725) 242-1361

NPI assigned

Apr 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1679324255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S BOULDER HWY APT 6207",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158537",
            "telephone_number": "725-242-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S BOULDER HWY APT 6207",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158537",
            "telephone_number": "725-242-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS-TUCKER",
        "first_name": "LATISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Negron
• Rae M Nehring, PHARM D
• Darrick William Neibaur, D.O.
• Russell N Neibaur, MD
• John Rick Neilson, D.D.S., M.S.
• Bryce Tyler Nelson, PA-C
• Cherelle Nelson, PHARMD, RPH
• Elaine Nelson, MS, LMFT, LCADC
• Guy Walter Nelson, DDS
• Jacob Reed Nelson, MD

• All providers in Henderson, NV
• Adult Companion in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.