Individual provider Active NPI

Anitra La'Trice Francis

  • Psychiatric/Mental Health Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1740825603
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4029799 Issued in KY
Practice address
200 Sterling Dr
Hopkinsville, KY 42240-1567
Phone
(318) 628-0016
NPI assigned
Nov 14, 2019
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4029799 KY Primary
Registered Nurse 163W00000X 98069 TX

Addresses

Primary practice location

200 Sterling Dr
Hopkinsville, KY 42240-1567

Mailing address

200 Sterling Dr
Hopkinsville, KY 42240-1567
Phone (318) 628-0016

Other names 1

  • Anitra La'Trice Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241204001318 KY Practitioner - Nurse Practitioner 0749716595 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
98069TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Nov 25, 2024 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC Psychiatric/Mental Health CurrentSince Nov 25, 2024 Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

200 Sterling Dr
Hopkinsville, KY 42240
Phone (270) 885-1166

1505 S Dixie St
Horse Cave, KY 42749
Phone (270) 786-2200

Organizations & group practices 2

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1740825603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STERLING DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401567",
            "telephone_number": "318-628-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STERLING DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401567",
            "telephone_number": "318-628-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "ANITRA",
        "middle_name": "LA'TRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4029799",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "98069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITRA",
            "last_name": "WILSON",
            "middle_name": "LA'TRICE",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.