Latasha R Burroughs, RN

Key facts

NPI

1780969642

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

1-123087 (AL)

Practice address

300 Carter Drive
Grove Hill, AL 36451

Phone

(251) 275-4135

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 13, 2011.

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1780969642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 964",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364610964",
            "telephone_number": "251-575-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CARTER DRIVE",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "36451",
            "telephone_number": "251-275-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "LATASHA",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-123087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove Hill, AL

• Herbert Champion Bowling, DMD
• Rachel S Bradford, LICSW
• Anna Marie Brooks, CRNP
• Katie B Brooks, FNP
• Stephanie Brown
• Dewey Rex Chalk, D.C.
• Jonathan Chaney
• City Drugs of Grove Hill, Inc.
• City Drugs of Grove Hill, Inc.
• Clarke County

All providers in Grove Hill, AL · Registered Nurse in Alabama