Individual provider Active NPI

Latonya Richardson Thomas, FNP-C

  • Family Nurse Practitioner
  • Tallulah, LA
National Provider Identifier
1710596192
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214886 Issued in LA
Practice address
222 W Bear Lake Rd
Tallulah, LA 71282-6028
Phone
(318) 574-3879
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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 214886 LA Primary

Addresses

Primary practice location

222 W Bear Lake Rd
Tallulah, LA 71282-6028

Mailing address

222 W Bear Lake Rd
Tallulah, LA 71282-6028
Phone (318) 574-3879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211004002195 LA Practitioner - Nurse Practitioner 4385042480 Reassigns benefits to 4 organizations
I20211011000241 TX Practitioner - Nurse Practitioner 4385042480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outpatient Medical Center, Inc.Group PAC ID 5597651794, 10 clinicians

Practice addresses (Care Compare)

1640 Breazeale Springs St
Nachitoches, LA 71457-4278
Phone 31835720713205

804 Beech St
Tallulah, LA 71282-3809

804 N Beech St
Tallulah, LA 71282-3809
Phone (318) 574-1453

Hospital & facility affiliations

  • Madison Parish Hospital Hospital, Tallulah, LA, CCN 191314

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Urgent Care LLC CurrentSince Dec 13, 2022 Accepting new patients
G & M Healthcare Services CurrentSince Dec 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Oct 1, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Oct 1, 2021 Accepting new patients
Outpatient Medical Center, Inc. Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Outpatient Medical Center, Inc. Nurse Practitioner PastSince Aug 2, 2020 Accepting new patients

Locations

2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220

1640 Breazeale Springs St
Natchitoches, LA 71457
Phone (318) 352-9299

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

804 N Beech St
Tallulah, LA 71282
Phone (318) 574-1453

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • Direct secure messaging: latonya.thomas.1@29100.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1710596192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W BEAR LAKE RD",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712826028",
            "telephone_number": "318-574-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W BEAR LAKE RD",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712826028",
            "telephone_number": "318-574-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LATONYA",
        "middle_name": "RICHARDSON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

Verify at the official NPI Registry.