Latorie Michelle Phillips, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9480689 Issued in FL

Practice address

514 Chadmon Court Trce
Dacula, GA 30019-7070

Phone

(941) 681-5138

NPI assigned

Feb 7, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Nurturing Therapeutic Care LLC

  • Home Health Agency
  • Dacula, GA
  • NPI 1881454999
  NPD

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1811701915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 CHADMON COURT TRCE",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197070",
            "telephone_number": "941-681-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 CHADMON COURT TRCE",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197070",
            "telephone_number": "941-681-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LATORIE",
        "middle_name": "MICHELLE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9480689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Elizabeth Quinn Perniciaro, D.P.T.
• Personal Primary Care of Georgia
• Marissa Peterson, PHARMD
• Megan J Pettigrew, PT
• Eugene David Pfaff, ATC
• Physio
• Physiotherapy Associates Inc
• Chasity Pinkston
• Kelvin Andrew Pittman Jr., DPT
• Pliant Care Inc

• Registered Nurse in Dacula, GA
• Providers in Dacula, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.