Individual provider Active NPI

Latrisala Bankston, NP

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1972097491
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
137803 Issued in TX
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

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190724003626 TX Practitioner - Nurse Practitioner 9830425164 Reassigns benefits to 1 organization
I20221025001397 LA Practitioner - Nurse Practitioner 9830425164 Reassigns benefits to 4 organizations
I20250804004058 FL Practitioner - Nurse Practitioner 9830425164 Reassigns benefits to 2 organizations
I20260115000042 TN Practitioner - Nurse Practitioner 9830425164 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
222109LAMDFamily Nurse Practitioner
137803TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Talk Health FL PA CurrentSince Aug 1, 2025 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Sep 1, 2022 Accepting new patients
Agape Life Multicultural Services CurrentSince May 1, 2025 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Sep 1, 2022 Accepting new patients
Famalay Health and Wellness LLC Family CurrentSince Jun 1, 2025 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
Med One Health Clinic, LLC CurrentSince Feb 10, 2025 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.

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

Verify at the official NPI Registry.