Active NPI
Lateasha Nicole Parish, FNP
- Nurse Practitioner
- Fayetteville, NC
National Provider Identifier
1811568207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 234466
- Practice address
- 557 Sandhurst Dr
Fayetteville, NC 28304-4433 - Phone
- (910) 484-8114
- Fax
- (910) 221-0564
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 234466 | NC | Primary |
Addresses
Primary practice location
557 Sandhurst Dr
Fayetteville, NC 28304-4433
Mailing address
557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone (910) 484-8114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000 | Other | NC | NEPHROLOGY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VBritt@ckcnc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211001002102 | NC | Practitioner - Nurse Practitioner | 8729486964 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.91 of 100
- Quality
- 60.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234466 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Kidney Care, PA | Current | Accepting new patients |
Locations
557 Sandhurst Dr
Fayetteville, NC 28304
810 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 618-1055
100 E Pleasant St
Roseboro, NC 28382
Phone (910) 525-0405
Interoperability endpoints
- vbritt@ckcnc.org
Organizations & group practices 1
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": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1811568207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 SANDHURST DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044433",
"telephone_number": "910-484-8114",
"fax_number": "910-221-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 SANDHURST DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044433",
"telephone_number": "910-484-8114",
"fax_number": "910-221-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARISH",
"first_name": "LATEASHA",
"middle_name": "NICOLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "234466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEPHROLOGY",
"identifier": "0000000000",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VBritt@ckcnc.org",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "557 Sandhurst Dr",
"city": "Fayetteville",
"state": "NC",
"country_code": "US",
"postal_code": "283044433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.