Latisha Houze-Reed, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Beaumont, MS
NPI 1922402247 · NPPES record last updated Oct 21, 2014
Key facts
- NPI
- 1922402247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R864309 (MS)
- Practice address
- 1411 Bradley Avenue
Beaumont, MS 39423-0235 - Phone
- (601) 784-3922
- Fax
- (601) 784-3755
- NPI assigned
- Oct 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Center, Inc
Practice addresses (Care Compare)
117 S 11TH Ave
Laurel, MS 39441-4361
Hospital & facility affiliations
- Adoration Home Health
- South Central Reg Med Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141212001650 | MS | Practitioner - Nurse Practitioner | 6709108111 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R864309 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Pulmonary Associates, PA | Current |
Accepting new patients | |
| Truhealth, LLC | Current |
Accepting new patients | |
| Family Health Center, Inc | Past | Accepting new patients |
Locations
971 Lakeland Dr
Ste 1052
Jackson, MS 39216
Phone (601) 981-9503
1036 West Dr
Laurel, MS 39440
Phone (601) 425-3191
925 Calhoun Ave
Yazoo City, MS 39194
Phone (662) 746-6651
1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 614-1424
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R864309 | MS | Yes |
Addresses
Primary practice location
1411 Bradley Avenue
Beaumont, MS 39423-0235
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other names
- Latisha Houze
Other providers in Beaumont, MS
- Beaumont Drugs LLC
- Beaumont Family Health Center
- Continuum Care Hospice, Inc.
- Melissa Dawn Gaspar
- Renewed Wellness Company, PLLC
- South Perry Elementary School
- Tri - X Drugs Inc
All providers in Beaumont, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.