Active NPI
Latrisala Bankston, NP
- Family Nurse Practitioner
- Tomball, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 137803
- Practice address
- 15535 Downford Dr
Tomball, TX 77377 - Phone
- (318) 230-0993
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 222109 | LA | |
| Family Nurse Practitioner | 363LF0000X | 137803 | TX | Primary |
Addresses
Primary practice location
15535 Downford Dr
Tomball, TX 77377
Mailing address
349 Dogwood South LN
Haughton, LA 71037-8511
Phone (832) 870-8375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA, FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Saint Cloud, FL 34772
Phone (832) 870-8375
Memphis, TN 38104
Phone (318) 828-2807
Waxahachie, TX 75167
Phone (832) 870-8375
349 Dogwood S LN
Haughton, LA 71037-8511
Phone (832) 870-8375
9701 NE 2ND Ave
Suite 1037
Miami Shores, FL 33138-2310
Phone (645) 201-9707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222109 | LA | MD | Family Nurse Practitioner |
| 137803 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Talk Health FL PA | Current | Accepting new patients | |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| Agape Life Multicultural Services | Current | Accepting new patients | |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| Famalay Health and Wellness LLC | Family | Current | Accepting new patients |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| Med One Health Clinic, LLC | Current | Accepting new patients | |
| Shyne & Wells Transportation Services | Current | Accepting new patients |
Locations
9701 NE 2nd Ave
Miami Shores, FL 33138
Phone (645) 201-9707
2780 E Fowler Ave
Tampa, FL 33612
Phone (813) 444-2276
1539 Jackson Ave
Ste 630
New Orleans, LA 70130
Phone (469) 553-2292
2924 Knight St
Ste 345
Shreveport, LA 71105
3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350
1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252
4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500
1910 Madison Ave
Memphis, TN 38104
Phone (318) 828-2807
1942 W Gray St
Houston, TX 77019
Phone (408) 857-9016
Organizations & group practices 8
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.
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1477263077
LA
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1215933254
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1295488385
-
- Non-emergency Medical Transport (VAN)
- Shreveport, LA
- NPI 1528873833
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1205721487
-
- Federally Qualified Health Center (FQHC)
- Gilliam, LA
- NPI 1598761496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1972097491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 DOGWOOD SOUTH LN",
"city": "HAUGHTON",
"state": "LA",
"postal_code": "710378511",
"telephone_number": "832-870-8375",
"fax_number": "832-835-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15535 DOWNFORD DR",
"city": "TOMBALL",
"state": "TX",
"postal_code": "77377",
"telephone_number": "318-230-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKSTON",
"first_name": "LATRISALA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "222109",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "137803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.