Lateshia Eagletail
NPI 1770305450ActiveIndividual· Technician, Other· Phoenix, AZ
Technician, Other in Phoenix, Arizona, licensed in AZ, with an NPI issued in October 2024.
Overview
| NPI | 1770305450 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 24, 2024 |
| Last updated in NPPES | Oct 24, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Other Primary | 247200000X | CLT00171587849666370 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Technician, Other providers in Phoenix
- 1083468136
- 1346009156
- 1467684548
- 1720854490
- 1154752897
- 1548678626
- 1932567757
- 1700243482
- 1609222363
- 1063819795
- 1679717516
- 1285061853