Latanya Bruton, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5172428 Issued in FL

Practice address

20870 Isherwood Ter Apt 300
Ashburn, VA 20147-7790

Phone

(850) 382-6840

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Timeless Medical Staffing

  • In Home Supportive Care Agency
  • Ashburn, VA
  • NPI 1336889468
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1740996743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901A N 9TH AVE # 566",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046638",
            "telephone_number": "850-417-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20870 ISHERWOOD TER APT 300",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477790",
            "telephone_number": "850-382-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTON",
        "first_name": "LATANYA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5172428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "latanyabruton@timelessmedicalstaffing.com",
            "affiliation": "Y",
            "endpointDescription": "Secure business email.",
            "affiliationName": "Timeless Medical Staffing",
            "address_1": "20870 Isherwood Ter Apt 300",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201477790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann Brubaker, RD
• Michelle Christine Herman Brueser, MSW, LCSW
• Meghann Kiersten Brunberg, ATC, CMT
• Leslie Smith Brundage, RNC,IBCLC RLC
• Beatrice Bruno, MS OTR/L
• Angela Bryan
• Bambi Lynn Bryant, MS, CCC-SLP
• Kylie Elaine Bryant, BEHAVIOR TECHNICIAN
• Roxanne Bryant, MSPT
• Pamela Bui

• Licensed Practical Nurse in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.