Individual provider Active NPI

Latasha D Patillo-Jones, FNP

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1922393172
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000015731 Issued in TN
Practice address
7691 Poplar Ave Ste 3084
Germantown, TN 38138-3904
Phone
(901) 237-8703
Fax
(901) 516-6385
NPI assigned
Jun 16, 2011
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000015731 TN Primary

Addresses

Primary practice location

7691 Poplar Ave Ste 3084
Germantown, TN 38138-3904

Mailing address

7691 Poplar Ave Ste 3084
Memphis, TN 38138-3904
Phone (901) 237-8703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130514000508 TN Practitioner - Nurse Practitioner 8628215449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Specialty Physicians, LLCGroup PAC ID 9739277419, 4 clinicians

Practice addresses (Care Compare)

Memphis, TN 38134
Phone (901) 516-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15731TNMDTrauma Surgery Physician
APN0000015731TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Specialty Physicians, LLC CurrentSince Mar 26, 2022 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients

Locations

6400 Shelby View Dr
Ste 101
Memphis, TN 38134
Phone (901) 516-1489

Interoperability endpoints

  • Direct secure messaging: lpatillojones29740@mlh.direct-ci.com

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1922393172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7691 POPLAR AVE STE 3084",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383904",
            "telephone_number": "901-237-8703",
            "fax_number": "901-516-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7691 POPLAR AVE STE 3084",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383904",
            "telephone_number": "901-237-8703",
            "fax_number": "901-516-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATILLO-JONES",
        "first_name": "LATASHA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.