Individual provider Active NPI

Jain A Lattes, CNM

  • Advanced Practice Midwife
  • Florence, MA
National Provider Identifier
1811097058
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
255831 Issued in MA
Practice address
45 Spring St
Florence, MA 01062-1261
Phone
(413) 570-3088
Fax
(413) 228-3884
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN255831 MA
Advanced Practice Midwife 367A00000X 255831 MA Primary

Addresses

Primary practice location

45 Spring St
Florence, MA 01062-1261

Mailing address

45 Spring St
Florence, MA 01062-1261
Phone (413) 570-3088

Other practice location 1

3300 Main St Fl 4
Springfield, MA 01107-1112
Phone (413) 794-8336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000813 MA Practitioner - Certified Nurse Midwife (CNM) 6507888443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

3300 Main St
Springfield, MA 01107-1112
Phone (413) 794-7031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN255831MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Psychiatric/Mental Health CurrentSince Jul 19, 2008 Accepting new patients
Baystate Medical Center, Inc. Past Accepting new patients
Baystate Affiliated Practice Organization Advanced Practice Midwife Past Accepting new patients

Locations

48 Sanderson St
Greenfield, MA 01301
Phone (413) 773-2022

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

3300 Main St
Springfield, MA 01199
Phone (413) 794-7035

3300 Main St
Ste 4D
Springfield, MA 01107
Phone (413) 794-8336

3300 Main St
Fl 4
Springfield, MA 01107
Phone (413) 794-5555

3300 Main St
Springfield, MA 01107
Phone (413) 794-7031

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1811097058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SPRING ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621261",
            "telephone_number": "413-570-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SPRING ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621261",
            "telephone_number": "413-570-3088",
            "fax_number": "413-228-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Main St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071112",
            "country_code": "US",
            "telephone_number": "413-794-8336",
            "fax_number": "413-794-5846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATTES",
        "first_name": "JAIN",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN255831",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "255831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.