Craig Larry Lathen, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

55861 Issued in ID

Practice address

1623 Hospital Loop
Owyhee, NV 89832-1200

Phone

(775) 757-2415

Fax

(775) 757-3010

NPI assigned

Jan 31, 2024

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shoshone-Paiute TribesGroup PAC ID 5092871889, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Shoshone-Paiute Tribes

  dba Owyhee Community Health Facility

  • Clinic/Center
  • Owyhee, NV
  • NPI 1528230224

  TX

  Medicare reassignment Care Compare group NPD
• Shoshone Paiute Tribes

  dba Owyhee Ambulance

  • Land Ambulance
  • Owyhee, NV
  • NPI 1104181791
  NPD
• Owyhee Community Health Facility

  • Clinic/Center
  • Owyhee, NV
  • NPI 1659535813
  NPD (past)

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1962265199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "MOUNTAIN CITY",
            "state": "NV",
            "postal_code": "898310116",
            "telephone_number": "208-851-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 HOSPITAL LOOP",
            "city": "OWYHEE",
            "state": "NV",
            "postal_code": "898321200",
            "telephone_number": "775-757-2415",
            "fax_number": "775-757-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHEN",
        "first_name": "CRAIG",
        "middle_name": "LARRY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "55861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zannetta Hanks, SOCIAL WORKER
• Kelly Helt
• Danielle Mykita Houston
• Seth Howard
• Raymond Andrew Jim Jr., NACADC
• Katherine Susanne Law, RN
• Christopher C Lynch, MT
• Tifney Madalena, LPN
• Lorraine Kay Marshall, LMSW, LADC
• Lucas Mason

• Nurse Practitioner in Owyhee, NV
• Providers in Owyhee, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.