Individual provider Active NPI

Christina Joy Latta, CRNP

  • Family Nurse Practitioner
  • Jacksonville, AL
National Provider Identifier
1982058392
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-119815 Issued in AL
Practice address
1701 Pelham Rd S
Jacksonville, AL 36265-3353
Phone
(256) 435-4970
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-119815 AL Primary

Addresses

Primary practice location

1701 Pelham Rd S
Jacksonville, AL 36265-3353

Mailing address

1701 Pelham Rd S
Jacksonville, AL 36265-3353
Phone (256) 435-4970

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160711001467 AL Practitioner - Nurse Practitioner 1254623341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830-8483
Phone (334) 502-1117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.61 of 100Reported as group
Quality
83.5
Improvement activities
40
Cost
77.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stopwatch Urgent Care Centers LLC CurrentSince Aug 15, 2023 Accepting new patients
Alabama Emergency Physician Partners, LLC Current Accepting new patients
Alabama Emergency Physician Partners, LLC CurrentSince Aug 13, 2023 Accepting new patients
Alabama Physicians Group LLC CurrentSince Dec 19, 2023 Accepting new patients
Premier Allergist of Florida LLC PastSince Feb 25, 2020 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1982058392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653353",
            "telephone_number": "256-435-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653353",
            "telephone_number": "256-435-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTA",
        "first_name": "CHRISTINA",
        "middle_name": "JOY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-119815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.