Individual provider Active NPI

Latosca Brunner, AGAC-NP

  • Acute Care Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1710411822
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP132721 Issued in TX
Practice address
4810 Kemp Blvd
Wichita Falls, TX 76308-5222
Phone
(872) 231-3162
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 309642 AZ
Nurse Practitioner 363L00000X 4017745 KY
Acute Care Nurse Practitioner 363LA2100X APRN11031715 FL
Acute Care Nurse Practitioner 363LA2100X 4017745 KY
Acute Care Nurse Practitioner 363LA2100X AP132721 TX Primary

Addresses

Primary practice location

4810 Kemp Blvd
Wichita Falls, TX 76308-5222

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other practice location 1

221 W Beckley Blvd
Pavilion 2 Suite 929
Dallas, TX 75202
Phone (214) 960-5681

Other practice location 2

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone (214) 960-5681 ext. 75

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
I20170927000019 TX Practitioner - Nurse Practitioner 4284908435 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

4810 Kemp Blvd
Wichita Falls, TX 76308-5222
Phone (312) 635-0973

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309642AZMDAcute Care Nurse Practitioner
APRN11031715FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care CurrentSince Jan 1, 2023 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince May 1, 2025 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince May 1, 2025 Accepting new patients
Lake Granbury Hospital-Based Professional Services Nurse Practitioner CurrentSince Mar 5, 2024 Accepting new patients
Texas Health Virtual Care Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

8200 Walnut Hill Ln
Fl 9
Dallas, TX 75231
Phone (214) 345-8001

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

8300 Eldorado Pkwy
McKinney, TX 75070
Phone (972) 548-9339

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1110 Westview Dr
Seymour, TX 76380
Phone (940) 889-3176

4401 College Dr
Vernon, TX 76384
Phone (877) 210-2373

Organizations & group practices 7

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": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1710411822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763085222",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 W Beckley Blvd",
            "address_2": "Pavilion 2 Suite 929",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75202",
            "country_code": "US",
            "telephone_number": "214-960-5681",
            "fax_number": "217-947-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 W Colorado Blvd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752082312",
            "country_code": "US",
            "telephone_number": "214-960-5681 x75",
            "fax_number": "214-960-5681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "LATOSCA",
        "credential": "AGAC-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "309642",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4017745",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11031715",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "4017745",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP132721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.