LATASHA DUBOSE (NPI# 1013431220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013431220 |
| Entity Type | Individual |
| Full Name | LATASHA DUBOSE |
| Practice Address |
2930 Bluff Winds Pl Douglasville GA 30135-8683 |
| Mailing Address |
8491 Hospital Dr Douglasville GA 30134-2412 |
| Practice Telephone | 6786953734 |
| Mailing Telephone | 6786953734 |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2017-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN094202 | GA | Nursing Service Providers |
| Street Address |
2930 BLUFF WINDS PL |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-8683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| 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 |
|---|---|---|---|---|
| 1831706423 | Sonia Dareus | Licensed Practical Nurse | 1495 Cain Ct N, Douglasville, GA 30134-3681 | 2020-09-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1023535499 | Katina Persinger | Licensed Practical Nurse | 8677 Hospital Dr Ste 103, Douglasville, GA 30134-2263 | 2017-08-27 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1598111361 | Walida S Barr | Licensed Practical Nurse | 6804 Knollwood Dr, Douglasville, GA 30135-1614 | 2016-05-10 |
| 1750778239 | Martine Fabien | Licensed Practical Nurse | 2721 Anneewakee Falls Pkwy, Douglasville, GA 30135-8905 | 2015-04-22 |
| 1659607836 | Iris Maria Adams | Licensed Practical Nurse | 8198 Chicago Ave, Douglasville, GA 30134-1106 | 2009-10-23 |
| 1356967194 | Torya C Horne | Licensed Practical Nurse | 2109 Fairburn Rd # A, Douglasville, GA 30135-1037 | 2020-06-17 |
| 1821611013 | Jennifer Alicia Smith-franklin | Licensed Practical Nurse | 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 | 2020-05-21 |
| 1467097592 | Amber Edwina Reid | Licensed Practical Nurse | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2019-11-13 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on LATASHA DUBOSE.
| 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.