Individual provider Active NPI

Latasha Shere Garrett, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1962093765
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28766 Issued in TN
Practice address
3169 Players Club Pkwy
Memphis, TN 38125-8835
Phone
(901) 410-2090
Fax
(901) 410-2251
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28766 TN Primary

Addresses

Primary practice location

3169 Players Club Pkwy
Memphis, TN 38125-8835

Mailing address

3169 Players Club Pkwy
Memphis, TN 38125-8835
Phone (901) 410-2090

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
I20210315000633 TN Practitioner - Nurse Practitioner 4981010196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28766TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Mental Health and Wellness Center LLC Psychiatric/Mental Health CurrentSince Feb 4, 2024 Accepting new patients
Compassion Behavioral Health LLC Psychiatric/Mental Health CurrentSince Nov 30, 2025 Accepting new patients
Vanderbilt University PastSince Feb 1, 2021 Accepting new patients

Locations

7556 US Highway 70
Bartlett, TN 38133
Phone (901) 568-7774

5865 Ridgeway Center Pkwy
Ste 300
Memphis, TN 38120
Phone (901) 602-2935

3169 Players Club Pkwy
Memphis, TN 38125
Phone (901) 410-2090

5885 Ridgeway Center Pkwy
Ste 102
Memphis, TN 38120
Phone (901) 410-2090

Organizations & group practices 4

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1962093765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 PLAYERS CLUB PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258835",
            "telephone_number": "901-410-2090",
            "fax_number": "901-410-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 PLAYERS CLUB PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258835",
            "telephone_number": "901-410-2090",
            "fax_number": "901-410-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "LATASHA",
        "middle_name": "SHERE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "28766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.