Jennivie Shaunette Latham-Hickman, FAMILY NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-098043 Issued in AL

Practice address

6001 Marcus Byers Dr NE
Huntsville, AL 35811-1157

Phone

(256) 864-6656

Fax

(256) 864-6657

NPI assigned

Nov 29, 2012

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 AL

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Decatur General Hospital

  • Psychiatric Hospital Unit
  • Decatur, AL
  • NPI 1326288770
  NPD (past)
• Madison Valley Pediatrics

  • Pediatrics Physician
  • Madison, AL
  • NPI 1053405316
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1962747071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 MARCUS BYERS DR NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358111157",
            "telephone_number": "256-864-6656",
            "fax_number": "256-864-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 MARCUS BYERS DR NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358111157",
            "telephone_number": "256-864-6656",
            "fax_number": "256-864-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM-HICKMAN",
        "first_name": "JENNIVIE",
        "middle_name": "SHAUNETTE",
        "credential": "FAMILY NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-098043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148215",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew David Lash, CRNP
• Alayne C Lasher, M.D.
• Kinsie Lassauw, MSN, FNP-C
• Whitney Lassiter, CRNA
• Kailyn Laswell, RN
• Tiffany Lau, OD
• Bryan Walter Laue, M.D.
• Laura E. Dyer MD PC
• Camilla Laurel, NP-C
• Hector Omar Laurel, M.D.

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.