NPIMap

Individual provider Active NPI

Latwana Matthew

  • Family Nurse Practitioner
  • Natchitoches, LA
National Provider Identifier
1902349848
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09035 Issued in LA
Practice address
1640 Breazeale Springs St
Natchitoches, LA 71457-4278
Phone
(318) 352-9299
NPI assigned
Nov 27, 2016
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP134054 TX
Nurse Practitioner 363L00000X AP09035 LA
Family Nurse Practitioner 363LF0000X 09035 LA
Family Nurse Practitioner 363LF0000X AP09035 LA Primary

Addresses

Primary practice location

1640 Breazeale Springs St
Natchitoches, LA 71457-4278

Mailing address

1640 Breazeale Springs St
Natchitoches, LA 71457-4278
Phone (318) 352-9299

Other practice location 1

9664 Amblewood Ln
Shreveport, LA 71118-5009
Phone (318) 286-2949

Other practice location 2

1339 S Broadway St
Sulphur Springs, TX 75482-4895
Phone (903) 951-1001

Other practice location 3

5638 Saratoga Blvd Ste 114
Corpus Christi, TX 78414-4134
Phone (361) 444-5280

Other practice location 4

11823 Culebra Rd Ste 105
San Antonio, TX 78253-4563
Phone (210) 598-1517

Other practice location 5

4046 Dowlen Rd Ste A
Beaumont, TX 77706-6849
Phone (409) 236-3510

Other practice location 6

1320 Wonder World Dr Ste 101
San Marcos, TX 78666-7558
Phone (512) 396-3911

Other practice location 7

2151 Airline Dr Ste 700
Bossier City, LA 71111-3398
Phone (318) 550-2176

Other practice location 8

1453 E Bert Koun Loop
Shreveport, LA 71105-6800
Phone (318) 681-4500

Other practice location 9

7045 Youree Dr
Shreveport, LA 71105-5108
Phone (318) 798-3763

Other practice location 10

9300 Mansfield Rd Ste 110
Shreveport, LA 71118-3137
Phone (318) 629-3763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170829003198 LA Practitioner - Nurse Practitioner 7517235211 Reassigns benefits to 8 organizations
I20230403002111 TX Practitioner - Nurse Practitioner 7517235211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
09035LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Feb 10, 2020 Accepting new patients
Highland Emergency Group, LLC Nurse Practitioner CurrentSince Apr 4, 2022 Accepting new patients
Kisatchie Emergency Group, LLC Nurse Practitioner CurrentSince May 10, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 28, 2022 Accepting new patients
Coastal Urgent Care, LLC CurrentSince Jul 24, 2023 Accepting new patients
University Health Shreveport LLC Nurse Practitioner CurrentSince Oct 1, 2018 Accepting new patients
University Health Shreveport LLC CurrentSince Oct 1, 2018 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 1, 2019 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 1, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 28, 2022 Accepting new patients

Locations (25 of 48)

6420 Groom Rd
Baker, LA 70714
Phone (225) 412-2781

2100 E Madison Ave
Bastrop, LA 71220
Phone (318) 239-4413

2151 Airline Dr
Ste 700
Bossier City, LA 71111
Phone (318) 550-2176

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

5314 Airline Dr
Bossier City, LA 71111
Phone (318) 678-5272

8021 E Texas St
Bossier City, LA 71111
Phone (225) 706-3033

8440 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 596-9520

1970 W Laurel Ave
Eunice, LA 70535
Phone (337) 465-2159

965 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 608-4681

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

203 Westgate Rd
Lafayette, LA 70506
Phone (337) 223-8401

3217 Johnston St
Lafayette, LA 70503
Phone (337) 364-1166

6770 Johnston St
Ste B
Lafayette, LA 70503
Phone (337) 326-5702

3829 Ryan St
Ste 300
Lake Charles, LA 70605
Phone (337) 399-0001

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

160 San Antonio Ave
Many, LA 71449
Phone (318) 353-3412

863 Tunica Dr E
Marksville, LA 71351
Phone (318) 717-1175

3013 Veterans Memorial Dr
Ste 101
Meaux, LA 70510
Phone (337) 385-5008

1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664

4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106

1050 E Admiral Doyle Dr
Ste A
New Iberia, LA 70560
Phone (337) 376-0515

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

300 Hospital Rd
New Roads, LA 70760
Phone (225) 310-6501

1902 Highway 165 S
Oakdale, LA 71463
Phone (318) 215-7806

58330 Belleview Rd
Plaquemine, LA 70764
Phone (225) 320-0703

Interoperability endpoints

  • Direct secure messaging: lmatthew299431@christushealth.direct-ci.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1902349848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 BREAZEALE SPRINGS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574278",
            "telephone_number": "318-352-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 BREAZEALE SPRINGS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574278",
            "telephone_number": "318-352-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9664 Amblewood Ln",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711185009",
            "country_code": "US",
            "telephone_number": "318-286-2949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1339 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754824895",
            "country_code": "US",
            "telephone_number": "903-951-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5638 Saratoga Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144134",
            "country_code": "US",
            "telephone_number": "361-444-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11823 Culebra Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782534563",
            "country_code": "US",
            "telephone_number": "210-598-1517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4046 Dowlen Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777066849",
            "country_code": "US",
            "telephone_number": "409-236-3510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Wonder World Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667558",
            "country_code": "US",
            "telephone_number": "512-396-3911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 Airline Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113398",
            "country_code": "US",
            "telephone_number": "318-550-2176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1453 E Bert Koun Loop",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711056800",
            "country_code": "US",
            "telephone_number": "318-681-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7045 Youree Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055108",
            "country_code": "US",
            "telephone_number": "318-798-3763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Mansfield Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711183137",
            "country_code": "US",
            "telephone_number": "318-629-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "LATWANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-27",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134054",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "09035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.