Latasha Reid

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012355 Issued in KY

Practice address

8019 Dixie Hwy Ste 101
Louisville, KY 40258-1303

Phone

(502) 333-3121

Fax

(502) 531-9538

NPI assigned

Dec 8, 2017

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, KY2 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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Bluegrass Kidney Consultants PSCGroup PAC ID 0840357646, 19 clinicians

PMR Ky Holding LLCGroup PAC ID 4789076688, 7 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PMR Ky Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1740737709

  KY

  Medicare reassignment Care Compare group NPD
• Bluegrass Kidney Consultants PSC

  • Nephrology Physician
  • Louisville, KY
  • NPI 1558500918

  IN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1992210165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 DIXIE HWY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402581303",
            "telephone_number": "502-333-3121",
            "fax_number": "502-531-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 DIXIE HWY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402581303",
            "telephone_number": "502-333-3121",
            "fax_number": "502-531-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "LATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "112721",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Michelle Reid
• Chad Reid
• Christian Elizabeth Reid, NP
• Janet Reid
• Jeri Roberta Reid, MD
• Madison Elaine Reid, RBT
• Megan Reid
• Reidsreadyllc (Reidsready)
• Reign Transportation LLC
• Morgan Christine Reilly, PA-C

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.