Individual provider Active NPI

Latricia Elaine Juneau, FNP-C

  • Family Nurse Practitioner
  • Rolla, MO
National Provider Identifier
1770171514
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021000140 Issued in MO
Practice address
603 S. Bishop Ave
Rolla, MO 65401-4320
Phone
(573) 426-4411
Fax
(573) 426-4403
NPI assigned
Jan 7, 2021
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021000140 MO Primary

Addresses

Primary practice location

603 S. Bishop Ave
Rolla, MO 65401-4320

Mailing address

1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 1

1000 Gw Ln
Waynesville, MO 65583-2339
Phone (573) 842-4116

Other practice location 2

1885 Englewood Rd
Englewood, FL 34223-1822
Phone (941) 406-9030

Other practice location 3

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210203002783 MO Practitioner - Nurse Practitioner 1850705773 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas County Memorial HospitalGroup PAC ID 9436041696, shared by 15 NPIs, 30 clinicians
Pcrmc Medical Group IncGroup PAC ID 1557454063, 113 clinicians

Practice addresses (Care Compare)

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

1050 W 10TH St
Rolla, MO 65401-2905

1333 S Sam Houston Blvd
Houston, MO 65483-2046

1333 S Sam Houston Blvd a
Houston, MO 65483-2046
Phone (417) 967-1252

1335 S Sam Houston Blvd
Houston, MO 65483-2046

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435

603 S Bishop Ave
Rolla, MO 65401-4320
Phone (573) 426-4411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021000140MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas County Memorial Hospital CurrentSince Nov 14, 2022 Accepting new patients
Texas County Memorial Hospital CurrentSince Nov 14, 2022 Accepting new patients
Texas County Memorial Hospital CurrentSince Nov 14, 2022 Accepting new patients
Phelps County Regional Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435

139 W Highway 32
Licking, MO 65542
Phone (573) 674-3011

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

603 S Bishop Ave
Rolla, MO 65401
Phone (573) 426-4411

1000 N Jefferson St
Saint James, MO 65559
Phone (573) 265-8840

1000 Gw Ln
Waynesville, MO 65583
Phone (573) 774-2715

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1770171514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-364-9000",
            "fax_number": "573-426-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S. BISHOP AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014320",
            "telephone_number": "573-426-4411",
            "fax_number": "573-426-4403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Gw Ln",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655832339",
            "country_code": "US",
            "telephone_number": "573-842-4116",
            "fax_number": "573-433-2008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1885 Englewood Rd",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342231822",
            "country_code": "US",
            "telephone_number": "941-406-9030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "LATRICIA",
        "middle_name": "ELAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021000140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.