NPIMap

Organization Active NPI

Latore Williams

  • Licensed Practical Nurse
  • Stone Mountain, GA
National Provider Identifier
1831592948
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN082505 Issued in GA
Legal business name
LATORE WILLIAMS
Practice address
5300 Ridge Forest Dr
Stone Mountain, GA 30083-3882
Phone
(404) 399-7713
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Latore WilliamsNPI 1265829824
Title
LPN
Phone
(404) 399-7713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 164W00000X LPN082505 GA Primary

Addresses

Primary practice location

5300 Ridge Forest Dr
Stone Mountain, GA 30083-3882

Mailing address

5300 Ridge Forest Dr
Stone Mountain, GA 30083-3882

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1831592948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 RIDGE FOREST DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 RIDGE FOREST DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833882",
            "telephone_number": "404-399-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATORE WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LATORE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "404-399-7713"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN082505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.