Individual provider Active NPI

Latonya S Mims, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Roanoke, VA
National Provider Identifier
1801879754
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024185485 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 853-0222
Fax
(540) 981-7855
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN243434 MA
Certified Registered Nurse Anesthetist 367500000X 0024185485 VA Primary
Certified Registered Nurse Anesthetist 367500000X 668574 TX

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516

Other practice location 1

2427 Lakecrest Dr
Shreveport, LA 71109-3003
Phone (318) 560-2312

Other identifiers 2

IdentifierTypeStateIssuer
110172339AMedicaidMA
1195901MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040927000339 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648249755 Reassigns benefits to 5 organizations
I20230630000092 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648249755 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dogwood Anesthesia Providers LLCGroup PAC ID 2769853084, 141 clinicians
Carilion Professional Services LLCGroup PAC ID 2163323999, 86 clinicians

Practice addresses (Care Compare)

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 520-8272

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 489-6353

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 853-0222

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
668574TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Epix Medical Services of Houston PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2018 Accepting new patients
Christus Good Shepherd Medical Center Nurse Anesthetist, Certified Registered CurrentSince Nov 26, 2019 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 25, 2020 Accepting new patients
Dogwood Anesthesia Providers, LLC CurrentSince Dec 10, 2022 Accepting new patients
Christus Good Shepherd Medical Center CurrentSince Nov 26, 2019 Accepting new patients
Gastrointestinal Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2025 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2021 Accepting new patients
Regional Clinics of Longview CurrentSince Aug 1, 2020 Accepting new patients
Medical Anesthesia Associates, LLP Past Accepting new patients
Texas Anesthesiology Consultants of Houston PA Past Accepting new patients
Willis Knighton Medical Center Inc. Crna Group Nurse Anesthetist, Certified Registered Past Accepting new patients
Gessner Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered PastSince Mar 31, 2011 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Med-Trans Corporation Past Accepting new patients
North Houston Anesthesiologists, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Texas Pain Consultants, LLP Past Accepting new patients
Atlas Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

6620 Main St
Ste 1500
Houston, TX 77030
Phone (713) 520-8432

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

110 N Robinson St
Ste 100
Richmond, VA 23220
Phone (804) 254-5300

Interoperability endpoints

  • Direct secure messaging: lmims330386@direct.wvuhsdirect.com
  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1801879754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-853-0222",
            "fax_number": "540-981-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2427 Lakecrest Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711093003",
            "country_code": "US",
            "telephone_number": "318-560-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIMS",
        "first_name": "LATONYA",
        "middle_name": "S",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN243434",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024185485",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "668574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110172339A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1195901",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.