Individual provider Active NPI

Keri Anne Lattimore, MD

  • Neonatal-Perinatal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1740395821
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD42369 Issued in TN
Practice address
1930 Alcoa Hwy
Suite 145
Knoxville, TN 37920-1500
Phone
(865) 582-3111
Fax
(865) 305-5857
NPI assigned
Aug 20, 2006
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD42369 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy
Suite 145
Knoxville, TN 37920-1500

Mailing address

1930 Alcoa Hwy
Suite 145
Knoxville, TN 37920-1500
Phone (865) 582-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD42369TNMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Knoxville Hma LLC Past Accepting new patients
University Health System, Inc. Past Accepting new patients
Regional Neonatal Associates Neonatal-Perinatal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: klattimore872837@direct.ghs.myhfn.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1740395821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "address_2": "SUITE 145",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-582-3111",
            "fax_number": "865-305-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "address_2": "SUITE 145",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-582-3111",
            "fax_number": "865-305-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIMORE",
        "first_name": "KERI",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TN",
            "license": "MD42369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.