Individual provider Active NPI

Latanya Denise Hallum, RN

  • Case Manager/Care Coordinator
  • Midlothian, TX
National Provider Identifier
1992213342
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
932956 Issued in TX
Practice address
3205 Charing Cross Rd
Midlothian, TX 76065-1281
Phone
(682) 261-7826
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X
Case Manager/Care Coordinator 171M00000X 932956 TX Primary
Registered Nurse 163W00000X 932956 TX
Case Management Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WC0400X 932956 TX

Addresses

Primary practice location

3205 Charing Cross Rd
Midlothian, TX 76065-1281

Mailing address

3205 Charing Cross Rd
Midlothian, TX 76065-1281
Phone (682) 261-7826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
932956TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1992213342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 CHARING CROSS RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760651281",
            "telephone_number": "682-261-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 CHARING CROSS RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760651281",
            "telephone_number": "682-261-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLUM",
        "first_name": "LATANYA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "932956",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "932956",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "932956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.