MS. TINA M LATTA (NPI# 1689660425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689660425 |
| Entity Type | Individual |
| Full Name | MS. TINA M LATTA |
| Other Name | TINA M LATTA |
| Credential | DNS, FNP-C MSN, , |
| Practice Address |
940 N Marr Rd Suite B Columbus IN 47201-2609 |
| Mailing Address |
2400 17th St Suite B Columbus IN 47201-5351 |
| Practice Telephone | 8123769750 |
| Practice Fax Number | 8123766977 |
| Mailing Telephone | 8123769750 |
| Mailing Fax Number | 8123766977 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71003623A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704205664 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000725157 | 01 |
| IN | SIHO | 127356 | 01 |
| IN | 201027540 | 05 |
| Street Address |
940 N MARR RD SUITE B |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720416985 | Traci M Lyons | Physician Assistant | 940 N Marr Rd, Suite C, Columbus, IN 47201-2609 | 2013-10-28 |
| 1205260593 | Andrew J Walker | Physician Assistant | 940 N Marr Rd, Suite C, Columbus, IN 47201-2609 | 2013-08-22 |
| 1932313996 | Allison Rae Clock | Physician Assistant | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2007-05-09 |
| 1316072804 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2007-02-23 |
| 1023034519 | Andrew J Bulla | Physician Assistant | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-07-15 |
| 1851321426 | Larry Dean Olson | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-07-03 |
| 1548299969 | Thomas W Marshall | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-30 |
| 1144259623 | Lisa R Lanham | Podiatrist | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-30 |
| 1679501605 | Southern Indiana Orthopedics Inc | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-29 |
| 1053349928 | Darryl A Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
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|---|---|---|---|---|
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| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1467060608 | Jessica Workman | Nurse Practitioner | 4135 Willow Hollow Dr, Columbus, OH 43230-1056 | 2020-07-14 |
| 1578181558 | Carolyn Minks | Nurse Practitioner | 1527 Berkshire Rd, Columbus, OH 43221-3905 | 2020-07-07 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1831723964 | Mh 102, PC | Nurse Practitioner | 1932 Wynnton Rd, Columbus, GA 31999-0001 | 2020-02-27 |
| 1972136422 | Junauh Mariah Allgood | Nurse Practitioner | 1006 11th Ave N Apt A, Columbus, MS 39701-3543 | 2020-02-12 |
| 1790325660 | Lisa Corinne Sofocleous | Nurse Practitioner | 250 Brodbelt Ln Apt 204, Columbus, OH 43215-2458 | 2020-01-08 |
| 1093366551 | Karla Kornsey | Nurse Practitioner | 23206 Columbus Rd Ste B, Columbus, NJ 08022-1904 | 2019-09-26 |
| 1083263651 | Vita Care LLC | Nurse Practitioner | 1425 Yorkland Road, Columbus, OH 43232-1686 | 2019-09-06 |
| Find all providers in COLUMBUS | ||||
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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.