Active NPI
Latrice Denise Hatcher
- Driver
- Elk Grove, CA
National Provider Identifier
1841886405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- D2174896
- Practice address
- 5053 Jurgenson Way
Elk Grove, CA 95757-2502 - Phone
- (916) 826-1300
- NPI assigned
- Dec 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Contractor | 171W00000X | |||
| Research Study Abstracter/Coder | 1744R1103X | |||
| Driver | 172A00000X | D2174896 | CA | Primary |
Addresses
Primary practice location
5053 Jurgenson Way
Elk Grove, CA 95757-2502
Mailing address
PO Box 189262
Sacramento, CA 95818-9262
Phone (916) 826-1300
Other names 1
- Ms. Latrice Denise Hatcher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D2174896 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1841886405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189262",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958189262",
"telephone_number": "916-826-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5053 JURGENSON WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957572502",
"telephone_number": "916-826-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHER",
"first_name": "LATRICE",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1744R1103X",
"taxonomy_group": "",
"desc": "Specialist, Research Data Abstracter/Coder",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "CA",
"license": "D2174896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LATRICE",
"last_name": "HATCHER",
"middle_name": "DENISE",
"prefix": "MS.",
"credential": "LATRICE DENISE PEAY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.