Individual provider Active NPI

Carla Leslie Latourette, PA-C

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1982643672
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116286 Issued in FL
Practice address
1540 South Tamiami Trail
Suite 401
Sarasota, FL 34239
Phone
(941) 917-0060
Fax
(941) 316-9305
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116286 FL Primary
Physician Assistant 363A00000X PA-145 AR

Addresses

Primary practice location

1540 South Tamiami Trail
Suite 401
Sarasota, FL 34239

Mailing address

1540 South Tamiami Trail
Ste 401
Sarasota, FL 34239
Phone (941) 917-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220903000206 FL Practitioner - Physician Assistant 4880684224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cardiac Consultants IncGroup PAC ID 8426026352, 15 clinicians

Practice addresses (Care Compare)

1540 S Tamiami Trail
Suite 401
Sarasota, FL 34239-2921

1540 S Tamiami TRL
Suite 401
Sarasota, FL 34239-2921
Phone (941) 917-0060

600 Nokomis Ave S
Suite 101
Venice, FL 34285-3209
Phone (941) 485-8190

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-145ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Methodist Hospital Corporation Past Accepting new patients
Watkins, Bauer & Meadors, P.a. Past Accepting new patients
Florida Cardiac Consultants, Inc Past Accepting new patients

Organizations & group practices 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1982643672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 SOUTH TAMIAMI TRAIL",
            "address_2": "STE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-917-0060",
            "fax_number": "941-316-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SOUTH TAMIAMI TRAIL",
            "address_2": "SUITE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-917-0060",
            "fax_number": "941-316-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATOURETTE",
        "first_name": "CARLA",
        "middle_name": "LESLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-03-19",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116286",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.