Individual provider Active NPI

Latonya Ratesa Bynum, CHES

  • Health Educator
  • Conway, AR
National Provider Identifier
1891310074
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
19024 Issued in AR
Practice address
25 Northwood Dr
Conway, AR 72034-3410
Phone
(501) 291-8775
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 19024 AR Primary

Addresses

Primary practice location

25 Northwood Dr
Conway, AR 72034-3410

Mailing address

25 Northwood Dr
Conway, AR 72034-3410
Phone (501) 291-8775

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Informatica Direct

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

LicenseStateTypeSpecialty
19024ARMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Ura Resource Center, LLC Health Educator CurrentSince Jun 14, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1891310074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NORTHWOOD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343410",
            "telephone_number": "501-291-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NORTHWOOD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343410",
            "telephone_number": "501-291-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "LATONYA",
        "middle_name": "RATESA",
        "name_prefix": "Mrs.",
        "credential": "CHES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AR",
            "license": "19024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Informatica",
            "affiliation": "N",
            "endpointDescription": "SSH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 Northwood Dr",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720343410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.