Active NPI
Tataneasha Latrice Carter, LVN
- Licensed Vocational Nurse
- Pasadena, CA
National Provider Identifier
1750080297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 267184
- Practice address
- 680 E Colorado Blvd Ste 180&2
Pasadena, CA 91101-6143 - Phone
- (424) 361-8846
- NPI assigned
- Feb 23, 2023
- Last updated
- Mar 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 267184 | CA | Primary |
Addresses
Primary practice location
680 E Colorado Blvd Ste 180&2
Pasadena, CA 91101-6143
Mailing address
680 E Colorado Blvd Ste 180&2ND
Pasadena, CA 91101-6143
Phone (424) 361-8846
Other names 1
- Ms. Latrice Carter
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267184 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677974400000",
"number": "1750080297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 E COLORADO BLVD STE 180&2ND",
"city": "PASADENA",
"state": "CA",
"postal_code": "911016143",
"telephone_number": "424-361-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 E COLORADO BLVD STE 180&2",
"city": "PASADENA",
"state": "CA",
"postal_code": "911016143",
"telephone_number": "424-361-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TATANEASHA",
"middle_name": "LATRICE",
"name_prefix": "Ms.",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2023-03-05",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "267184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LATRICE",
"last_name": "CARTER",
"prefix": "MS.",
"credential": "LVN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.