Individual provider Active NPI

Latha Varghese, APN

  • Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1902294796
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2014004532 Issued in MO
Practice address
902 N Riverside Rd
Ste. 200
Saint Joseph, MO 64507-2518
Phone
(816) 271-1301
Fax
(816) 271-1302
NPI assigned
Dec 31, 2014
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2014004532 MO Primary

Addresses

Primary practice location

902 N Riverside Rd
Ste. 200
Saint Joseph, MO 64507-2518

Mailing address

902 N Riverside Rd
Ste. 200
Saint Joseph, MO 64507-2518
Phone (816) 271-1301

Other names 1

  • Latha Ramakrishna Kurup Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014004532MOMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: latha.varghese.1@25988.direct.athenahealth.com
  • Direct secure messaging: latha.varghese@direct.mymlc.com

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1902294796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD",
            "address_2": "STE. 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072518",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD",
            "address_2": "STE. 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072518",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "LATHA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2014004532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATHA",
            "last_name": "RAMAKRISHNA KURUP",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.