Latida Brooks, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN248436 Issued in GA

Practice address

3558 Telstar Dr
Ellenwood, GA 30294-1112

Phone

(217) 520-2835

NPI assigned

Aug 23, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1700331485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558 TELSTAR DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941112",
            "telephone_number": "217-520-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3558 TELSTAR DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941112",
            "telephone_number": "217-520-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LATIDA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041422032",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN248436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamala Blevins
• Stacey Blocker
• Bohldface Byu-Te, LLC
• Denise Boone
• Melody Lawanda Bray-Ross, MD
• Brotherly Non-Medical Transport
• Michelle D Broussard, PHD, RDN, LD
• Eleanor Louise Brown, LPC
• Joan Icilda Brown
• Latoya Sophia Brown, RBT

• Registered Nurse in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.