Active NPI
Latisha R Joseph, LPN
- Licensed Practical Nurse
- New York, NY
National Provider Identifier
1891207353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 301008
- Practice address
- 112 W 134TH St Apt 3a
New York, NY 10030-3116 - Phone
- (347) 834-2337
- NPI assigned
- Oct 24, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 301008 | NY | Primary |
Addresses
Primary practice location
112 W 134TH St Apt 3a
New York, NY 10030-3116
Mailing address
112 West 124St Street
New York, NY 10030
Other practice location 1
25 Bennett St
Middletown, NY 10940-6412
Phone (347) 834-2337
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 |
|---|---|---|---|
| 301008 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891207353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 WEST 124ST STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W 134TH ST APT 3A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100303116",
"telephone_number": "347-834-2337"
}
],
"practiceLocations": [
{
"address_1": "25 Bennett St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109406412",
"country_code": "US",
"telephone_number": "347-834-2337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "LATISHA",
"middle_name": "R",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "301008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.