Individual provider Active NPI

Latasha Marie Wren, RN

  • Registered Nurse
  • Clayton, MO
National Provider Identifier
1912755497
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2007024034 Issued in MO
Practice address
8011 Clayton Rd Ste 209
Clayton, MO 63117-1156
Phone
(314) 390-2878
NPI assigned
May 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 2007024034 MO
Registered Nurse 163W00000X 2007024034 MO Primary

Addresses

Primary practice location

8011 Clayton Rd Ste 209
Clayton, MO 63117-1156

Mailing address

8011 Clayton Rd Ste 209
Clayton, MO 63117-1156
Phone (314) 390-2878

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2007024034MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
LW Concierge Nurse Advocates LLC CurrentSince May 12, 2024 Accepting new patients

Locations

8011 Clayton Rd
Ste 209
Saint Louis, MO 63117
Phone (314) 390-2878

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1912755497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 CLAYTON RD STE 209",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631171156",
            "telephone_number": "314-390-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 CLAYTON RD STE 209",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631171156",
            "telephone_number": "314-390-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "LATASHA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MO",
            "license": "2007024034",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007024034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.