Latia M Pierce, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00620600 Issued in NJ

Practice address

1279 Tammie Ter
Vineland, NJ 08360-5521

Phone

(609) 888-6915

Fax

(856) 249-9573

NPI assigned

Feb 25, 2016

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Latia M Colvin Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bright Side Wellness LLCGroup PAC ID 4082086459, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brightsidewellness.latiapierce@159039.advancedmd-direct.com

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.

• Bright Side Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vineland, NJ
  • NPI 1881305415
  Medicare reassignment Care Compare group NPD Authorized official
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1790857696
  Medicare reassignment NPD
• Community Health Care, Inc.

  dba CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
  • NPI 1700816816

  Licensed Practical Nurse

  Medicare reassignment NPD
• Sports and Spine Healthcare LLC

  dba Evergreen Healthcare Associates

  • Neurology Chiropractor
  • Vineland, NJ
  • NPI 1013593748
  Medicare reassignment NPD
• Physiatry Consultants of NJ LLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1710690631

  NJ

  Medicare reassignment NPD
• Michael S Rogers MD PA

  • Family Medicine Physician
  • West Deptford, NJ
  • NPI 1710946447
  Medicare reassignment
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1912179953
  NPD
• Community Health Care, Inc.

  dba CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Williamstown, NJ
  • NPI 1194568303
  NPD

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1740640309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 TAMMIE TER",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605521",
            "telephone_number": "856-899-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 TAMMIE TER",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605521",
            "telephone_number": "609-888-6915",
            "fax_number": "856-249-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "LATIA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00620600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00620600",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR17683300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0506559",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATIA",
            "last_name": "COLVIN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.