Shantel Latta, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024180790 Issued in VA

Practice address

103 E Broad St
Blackstone, VA 23824-1815

Phone

(434) 264-3221

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

No

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.

• County Med, LLC

  • Primary Care Clinic/Center
  • Blackstone, VA
  • NPI 1407580483

  VA

  Medicare reassignment NPD Authorized official
• Little Clinic of VA LLC

  • Family Nurse Practitioner
  • Henrico, VA
  • NPI 1225440076

  Family, VA

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  General Practice, VA

  Medicare reassignment NPD

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

• Amedisys Home Health Inc of Virginia

  • Home Health Agency
  • Petersburg, VA
  • NPI 1225157514
  Care Compare affiliation
• Amedisys Home Health of Virginia LLC

  • Home Health Agency
  • Goochland, VA
  • NPI 1306964168
  Care Compare affiliation
• Amedisys Home Health of Virginia LLC

  • Home Health Agency
  • Crewe, VA
  • NPI 1609994573
  Care Compare affiliation
• Amedisys Home Health of Virginia LLC

  • Home Health Agency
  • Midlothian, VA
  • NPI 1669420337
  Care Compare affiliation
• Amedisys Home Health, Inc. of Virginia

  • Home Health Agency
  • Mechanicsville, VA
  • NPI 1053409250
  Care Compare affiliation
• Amedisys Home Health, Inc. of Virginia

  • Home Health Agency
  • Charlottesville, VA
  • NPI 1558489948
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538

Medicare fee-for-service enrollment

Enrolled in VA

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: shantel.latta.1@27461.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2023.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1962092932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238240635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BROAD ST",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238241815",
            "telephone_number": "434-264-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Iron Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238311628",
            "country_code": "US",
            "telephone_number": "804-318-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATTA",
        "first_name": "SHANTEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Sharif Higgins
• Lewis W. Irby Jr., DDS
• Jan'S Residential Homes
• Christy T Johnson-Oliver, NP
• Laboratory Corporation of America Holdings
• Allison Noel Lee, NP
• Madalyn Rose Lee, MD
• Kelly Myers, LCSW
• Roby Taylor Myers, DC
• Nottoway Innovative Medical Solutions

• All providers in Blackstone, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.