MS. JESSICA LYNN LATHAM AGNP-C NPI 1073980611

NPI Information

  • NPI: 1073980611
  • Provider Name: MS. JESSICA LYNN LATHAM, AGNP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1133 DUNN RD
    SUITE 2335
    ST LOUIS, MO
    ZIP 63136
  • Phone: (314) 653-5007

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NPI Details

MS. Jessica Lynn Latham, AGNP-C is an adult health nurse practitioner in St Louis, MO with 10 years of experience. MS. Jessica Lynn Latham, AGNP-C NPI is 1073980611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1133 DUNN RD
SUITE 2335
ST LOUIS, MO
ZIP 63136-119
Phone: (314) 653-5007
Fax: (314) 653-5007

The NPI 1073980611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)

The enumeration date for this NPI number is 8/31/2015 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146D00000XPersonal Emergency Response Attendant060472784ILLINOISNo
2163WE0003XRegistered NurseEmergency2010040204MISSOURINo
3363LA2200XNurse PractitionerAdult Health2015028258MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11073980611MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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