Organization Active NPI

Latouche Pediatrics, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Anchorage, AK
National Provider Identifier
1780221127
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LATOUCHE PEDIATRICS, LLC
Practice address
3340 Providence Dr Ste 452
Anchorage, AK 99508-4628
Phone
(907) 562-2120
NPI assigned
Dec 4, 2019
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LATOUCHE PEDIATRICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Angella Titus
Title
Business Manager
Phone
(907) 562-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

3340 Providence Dr Ste 452
Anchorage, AK 99508-4628

Mailing address

3340 Providence Dr Ste 452
Anchorage, AK 99508-4628

National Provider Directory

National Provider Directory
Tax ID family
Latouche Pediatrics LLC2 organizations share this tax ID, including this one
Part of
Latouche Pediatrics LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3340 Providence Dr
Ste 452
Anchorage, AK 99508
Phone (907) 562-2120

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1780221127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE 452",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE 452",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084628",
            "telephone_number": "907-562-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATOUCHE PEDIATRICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LATOUCHE PEDIATRICS, LLC",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "907-562-2120"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.