KASEY LATTIER (NPI# 1457704306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457704306 |
| Entity Type | Individual |
| Full Name | KASEY LATTIER |
| Credential | NP |
| Practice Address |
1860 Fairfield Ave Shreveport LA 71101-4431 |
| Practice Telephone | 3186751313 |
| Practice Fax Number | 3186751319 |
| Mailing Telephone | 3186751313 |
| Mailing Fax Number | 3186751319 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP08922 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1860 FAIRFIELD AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689623548 | Neil L Halim | Family Medicine | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2006-05-09 |
| 1659807980 | Megan Ray O'neal | Nurse Practitioner | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2017-05-05 |
| 1275075129 | Neil Halim Fairfield Family Clinic | Clinic/Center | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2016-11-09 |
| 1225417942 | Shannon Koveleskie | Physician Assistant | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2015-05-27 |
| 1437408846 | Cheryl Wiley Adair | Family Medicine | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2012-08-30 |
| 1669796926 | Kristy Addison Kehoe | Physician Assistant | 1860 Fairfield Ave, Shreveport, LA 71101 | 2010-03-16 |
| 1104025121 | Neil Halim Fairfield Family Clinic | Family Medicine | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2007-07-11 |
| 1760418131 | Nancy Clearkin Germany | Family Medicine | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316610 | Perkins Nurse Practitioner Services | Nurse Practitioner | 9307 Melissa Way, Shreveport, LA 71115-2527 | 2020-01-29 |
| 1962028415 | Rachel Sitter | Nurse Practitioner | 1905 Fairfield Ave, Shreveport, LA 71101-4436 | 2020-06-21 |
| 1700449220 | Leslie Lewynell Provost | Nurse Practitioner | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2019-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638737 | Dpdnp, LLC | Nurse Practitioner | 1264 Avenue Du Chateau, Covington, LA 70433-6423 | 2020-10-26 |
| 1700496429 | Kyur LLC | Nurse Practitioner | 1581 Carol Sue Ave Ste B, Gretna, LA 70056-5100 | 2020-08-06 |
| 1548870439 | Tamara Dianne Mcadams | Nurse Practitioner | 156 Bobby Johnson Rd, Farmerville, LA 71241-8138 | 2020-08-05 |
| 1699384099 | Health & Wellness Home Medical Services, LLC | Nurse Practitioner | 211 N 1st St Ste 2, Amite, LA 70422-2466 | 2020-07-31 |
| 1417565615 | Bobby D Chelette | Nurse Practitioner | 181 Hat Creek Dr, West Monroe, LA 71292-1031 | 2020-07-14 |
| 1396363438 | Blake Mccullough Williams | Nurse Practitioner | 1017 N Pine St, Deridder, LA 70634-2817 | 2020-07-06 |
| 1730712605 | Christopher Aaron Sissell | Nurse Practitioner | 1850 Gause Blvd E Ste 103, Slidell, LA 70461-5454 | 2020-02-19 |
| 1598305260 | Hollie Cavel Touchet | Nurse Practitioner | 116 Chicory Ln, Lafayette, LA 70506-9210 | 2020-01-10 |
| 1780228312 | Sharel Randolph Williams | Nurse Practitioner | 614 Harmony St, New Orleans, LA 70115-1108 | 2019-11-06 |
| 1992351365 | Rosemarie V Lazo | Nurse Practitioner | 13318 Berry Bowl Rd, Independence, LA 70443-2363 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on KASEY LATTIER.
| 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.