Latasha Henderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

975462 Issued in TX

Practice address

101 Tower LN
Naples, TX 75568-5827

Phone

(903) 371-2177

NPI assigned

Nov 22, 2019

Last updated

Nov 22, 2019By the provider in NPPES

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1871139006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "NAPLES",
            "state": "TX",
            "postal_code": "755680532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER LN",
            "city": "NAPLES",
            "state": "TX",
            "postal_code": "755685827",
            "telephone_number": "903-371-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LATASHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "975462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Texas Clinic
• Etca-Naples, Inc.
• James Patrick Griffin, M.D.
• Janet C Knight, PAC
• Linda Kay Osmon
• Pruetts Food Inc (Pruetts Food-Pharmacy #5)
• Kathy Stringfellow, LPC
• Tammy Sullivan, RN

• Registered Nurse in Naples, TX
• Providers in Naples, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.