Latasha Sims
NPI 1770912230ActiveIndividual· Clinic/Center· Mesa, AZ
Clinic/Center in Mesa, Arizona, licensed in OH, with an NPI issued in November 2013.
Overview
| NPI | 1770912230 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 5, 2013 |
| Last updated in NPPES | Mar 14, 2024 |
| Certified by provider | Mar 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Licensed Practical Nurse | 164W00000X | 145069 | OH |
| Technician, Pathology, Phlebotomy | 246RP1900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 Clinic/Center providers in Mesa
- 1003450461
- 1023763992
- 1053798793
- 1063484459
- 1073357471
- 1073403168
- 1093506784
- 1194318626
- 1194374876
- 1285875039
- 1316742992
- 1326221029
All 42 Clinic/Center providers in Mesa · All Clinic/Center providers in Arizona