LATISHA J HAVENS (NPI# 1497257125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497257125 |
| Entity Type | Individual |
| Full Name | LATISHA J HAVENS |
| Credential | LPN |
| Practice Address |
2000 Hampton St Fl 3 Columbia SC 29204-1002 |
| Mailing Address |
2715 Colonial Dr Ste 100b Columbia SC 29203-6818 |
| Practice Telephone | 8038980123 |
| Practice Fax Number | 8038980154 |
| Mailing Telephone | 8038984802 |
| Mailing Fax Number | 8038984007 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 46442 | SC | Nursing Service Providers |
| Street Address |
2000 HAMPTON ST FL 3 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720558182 | Tamara D Williams | Licensed Vocational Nurse | 2000 Hampton St Fl 3, Columbia, SC 29204-1002 | 2018-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568757 | Iman A Reed | Licensed Practical Nurse | 8 Ashbury Pl, Columbia, MS 39429-3729 | 2020-11-04 |
| 1407487127 | Michelle Thompson | Licensed Practical Nurse | 1113 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-01-31 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1396232286 | Rose Thompson | Licensed Practical Nurse | 315 Lampton Hilltop Rd, Columbia, MS 39429 | 2018-04-17 |
| 1932619434 | Lindsey Suzanne Rapp | Licensed Practical Nurse | 7720 Highway 40 W, Columbia, MO 65202-9578 | 2017-10-10 |
| 1275059602 | Catherine Elizabeth Graham | Licensed Practical Nurse | 2807 Webster St, Columbia, SC 29205-1343 | 2017-08-17 |
| 1417471921 | Susan Lorenda Mclendon | Licensed Practical Nurse | 57 Bacchus Rd, Columbia, MS 39429-8208 | 2017-07-27 |
| 1134672223 | S Angela R Richardson | Licensed Practical Nurse | 1202 S James Campbell Blvd Ste 7a, Columbia, TN 38401-5358 | 2016-07-26 |
| 1669822003 | Debra Grabanski | Licensed Practical Nurse | 1000 W Nifong Blvd Ste 200, Columbia, MO 65203-5615 | 2016-06-16 |
| 1306290804 | Deaidra Curry | Licensed Practical Nurse | 9523 Quarry Bridge Ct, Columbia, MD 21046-1926 | 2016-04-20 |
| Find all providers in COLUMBIA | ||||
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| 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.