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Latasha Carothers

NPI 1548013592ActiveIndividual· Nurse Practitioner, Family· Collierville, TN

Nurse Practitioner, Family with Ultra Health LLC, practicing in Collierville, Tennessee. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner. 180 Medical, Inc. reported $26.05 in payments in 2025, mostly food and beverage.

Overview

NPI1548013592
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 9, 2024
Last updated in NPPESJul 1, 2025
Certified by providerJul 1, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X39080TN
Registered Nurse163W00000X908671MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MS); Practitioner - Nurse Practitioner (TN)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$26.05 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
180 Medical, Inc.$26.051

What the 2025 payments were for

  • Food and Beverage$26.05 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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