Individual provider Active NPI

Latasha Dayes

  • Specialist
  • Saint Albans, NY
National Provider Identifier
1750167045
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AEC-20-03865 Issued in NY
Practice address
10919 Farmers Blvd
Saint Albans, NY 11412-1064
Phone
(866) 626-0551
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AEC-20-03865 NY Primary

Addresses

Primary practice location

10919 Farmers Blvd
Saint Albans, NY 11412-1064

Mailing address

18722 Keeseville Ave
Saint Albans, NY 11412-2332
Phone (631) 530-6099

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

LicenseStateTypeSpecialty
AEC-20-03865NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
LD Organic Hair Care CurrentSince Sep 10, 2023 Accepting new patients

Locations

10919 Farmers Blvd
Saint Albans, NY 11412
Phone (866) 626-0551

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1750167045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18722 KEESEVILLE AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122332",
            "telephone_number": "631-530-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10919 FARMERS BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121064",
            "telephone_number": "866-626-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYES",
        "first_name": "LATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "AEC-20-03865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.