MS. LATISHA TRENICE STENNIS (NPI# 1154946788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154946788 |
| Entity Type | Individual |
| Full Name | MS. LATISHA TRENICE STENNIS |
| Credential | PMHNP |
| Practice Address |
8106 Carol Dr East Saint Louis IL 62203-1838 |
| Practice Telephone | 6185580920 |
| Mailing Telephone | 6185580920 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2020013544 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8106 CAROL DR |
| City | EAST SAINT LOUIS |
| State | IL |
| Zip Code | 62203-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386586 | Strower Dialysis LLC | Clinic/Center | 8 Vieux Carre Dr, East Saint Louis, IL 62203 | 2018-05-17 |
| 1487612370 | Justin Ogbevoen | Pediatrics | 8710 State St, East Saint Louis, IL 62203 | 2006-05-02 |
| 1811187321 | Robert Stephen Jacobs | Counselor | 200 W. Country Ln., Ccollinsville, IL 62203-0000 | 2007-07-31 |
| 1720052731 | Virgil Calvert Nursing & Rehabilitation Center | Skilled Nursing Facility | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2006-02-15 |
| 1548521768 | Karen D Boide | Physical Therapy Assistant | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2012-06-05 |
| 1821359324 | Robert Lyle Swanson | Occupational Therapy Assistant | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2012-05-31 |
| 1699073874 | Nathan Health Care Center, L.L.C. | Skilled Nursing Facility | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2011-03-11 |
| 1417122169 | Virgil Calvert Nursing & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2008-04-24 |
| 1710003421 | Virgil L Calvert Care Center | Skilled Nursing Facility | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2007-03-22 |
| 1225152929 | Bharat Kantilal Shah | Surgery | 950 N Kingshighway, East Saint Louis, IL 62203-1085 | 2007-03-19 |
| Find all providers in zip 62203 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
| 1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
| 1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
| 1578190500 | Cari Ann Betts | Nurse Practitioner | 201 E Ogden Ave Ste 118, Hinsdale, IL 60521-3776 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | EAST SAINT LOUIS |
| Zip Code | 62203 |
Please comment or provide details below to improve the information on MS. LATISHA TRENICE STENNIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.