Latoya Lynnette Johnson Sellers, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

262674 Issued in SC

Practice address

1324 Commerce Drive
Dillon, SC 29536

Phone

(843) 774-3351

Fax

(843) 774-2622

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• South Carolina Dept of Mental Health Accounting Office

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)
• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bennetsville, SC
  • NPI 1609979640
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1740011618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295120918",
            "telephone_number": "843-544-4060",
            "fax_number": "843-454-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 COMMERCE DRIVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "29536",
            "telephone_number": "843-774-3351",
            "fax_number": "843-774-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON SELLERS",
        "first_name": "LATOYA",
        "middle_name": "LYNNETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-20",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "262674",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SC",
            "license": "262674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405127",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Wallace Jacobs, DNP/FNP
• Kathryn Ann Jarvis, MD
• Jay Bee Medical Equipment Co.,Inc
• JD Crowns LLC
• Shelia D Jenkins
• Chico Johnson
• Demetris Willette Johnson
• Haley E Jones, FNP
• Joan Tatum Jones
• Stephen C Jones, MD

• Psychiatric/Mental Health Registered Nurse in Dillon, SC
• Providers in Dillon, SC by specialty
• Psychiatric/Mental Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.