Kusam Lata, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136073 Issued in TX

Practice address

2693 FM 3009
Schertz, TX 78154-2712

Phone

(210) 658-3087

NPI assigned

Dec 18, 2017

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klata@sapa.directglo.com
• Direct secure messaging: kusam.lata@160177656168452.direct.elationemr.com

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.

• Minuteclinic Telehealth Services of Texas Association

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1922564301
  Medicare reassignment NPD
• Guiding Light Hospice, Inc.

  • Gerontology Nurse Practitioner
  • San Antonio, TX
  • NPI 1578906350
  NPD

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1922514603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 FM 3009",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542712",
            "telephone_number": "210-658-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 FM 3009",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542712",
            "telephone_number": "210-658-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATA",
        "first_name": "KUSAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922514603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivy J Lamb, LPC
• Scott Michael Lambaria II
• Raquel Lara
• Amanda Larino, APRN
• Ryan Douglas Laroque
• Brianna Michelle Latulas
• Stephen Patrick Lauffer, PT
• Jasmine Rae Laurenti, COTA
• Kylie Leilani Lawrence
• Diem Le, DC

• Family Nurse Practitioner in Schertz, TX
• Providers in Schertz, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.