Individual provider Active NPI

Latosha Jackson Mollette, APRN

  • Family Nurse Practitioner
  • Ruston, LA
National Provider Identifier
1821641374
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207211 Issued in LA
Practice address
902 S Vienna St
Ruston, LA 71270-5830
Phone
(318) 551-4311
Fax
(318) 551-4355
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 207211 LA Primary

Addresses

Primary practice location

902 S Vienna St
Ruston, LA 71270-5830

Mailing address

135 Dawson St
Dubach, LA 71235-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250801001370 LA Practitioner - Nurse Practitioner 3173031101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Urgent Care LLCGroup PAC ID 6608181516, 11 clinicians
Adala Health, LLCGroup PAC ID 5799278362, 2 clinicians

Practice addresses (Care Compare)

2020 Tower Dr
Suite 100
Monroe, LA 71201-5036
Phone (318) 966-6220

902 S Vienna St
Ruston, LA 71270-5830
Phone (318) 551-4311

Hospital & facility affiliations

  • Jackson Parish Hospital Hospital, Jonesboro, LA, CCN 191317
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
207211LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Urgent Care LLC CurrentSince Jul 3, 2025 Accepting new patients
Adala Health, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

103 Watts St
Jonesboro, LA 71251
Phone (318) 259-1569

2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220

902 S Vienna St
Ruston, LA 71270
Phone (318) 513-1950

3424 Cypress St
West Monroe, LA 71291
Phone (318) 450-4626

Interoperability endpoints

  • Direct secure messaging: lmollette78339@direct.casso.us.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1821641374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 DAWSON ST",
            "city": "DUBACH",
            "state": "LA",
            "postal_code": "712353201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705830",
            "telephone_number": "318-551-4311",
            "fax_number": "318-551-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLETTE",
        "first_name": "LATOSHA",
        "middle_name": "JACKSON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "207211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.