Individual provider Active NPI

Latoya Bond, FNP

  • Family Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1790219459
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015766 Issued in IL
Practice address
3220 Atlanta St
Springfield, IL 62707-8801
Phone
(217) 588-2600
NPI assigned
Apr 19, 2017
Last updated
Apr 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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 209015766 IL Primary

Addresses

Primary practice location

3220 Atlanta St
Springfield, IL 62707-8801

Mailing address

PO Box 3428
Springfield, IL 62708-3428
Phone (800) 577-5368

Other identifiers 1

IdentifierTypeStateIssuer
2016032820OtherILANCC CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20171018003106 IL Practitioner - Nurse Practitioner 3971879974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Emergency Department Specialists LTDGroup PAC ID 5193627727, 62 clinicians
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Practice addresses (Care Compare)

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121

3132 Old Jacksonville Rd
Suite 110
Springfield, IL 62704-7401
Phone (217) 588-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
71.79
Promoting interoperability
77
Improvement activities
40
Cost
75.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Department Specialists LTD CurrentSince Nov 1, 2018 Accepting new patients
Memorial Physician Services CurrentSince Aug 19, 2017 Accepting new patients
Memorial Physician Services Current Accepting new patients
Memorial Physician Services CurrentSince Aug 19, 2017 Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

2950 S 6th St
Springfield, IL 62703
Phone (217) 588-7450

3132 Old Jacksonville Rd
Ste 110
Springfield, IL 62704
Phone (217) 588-2600

3220 Atlanta St
Springfield, IL 62707
Phone (217) 588-2600

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

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 1

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1790219459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3428",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627083428",
            "telephone_number": "800-577-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 ATLANTA ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627078801",
            "telephone_number": "217-588-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "LATOYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION",
            "identifier": "2016032820",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.