KIARA MICHELLE LOPEZ DE LATCHUM PA-C
NPI 1063924181
Physician Assistant - Medical in Temple, PA

Q: What is Kiara Lopez De Latchum's NPI number?

The NPI number for Kiara Lopez De Latchum is 1063924181. It was assigned to this individual provider in the NPPES registry on October 30, 2017. The provider is also known as Kiara Aguayo Lopez.

Q: What is Kiara Lopez De Latchum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since October 30, 2017PECOS Enrolled

4301 5TH STREET HWY STE 101, TEMPLE, PA 19560(610) 208-8800(610) 898-1336 Get Directions Write a Review

NPPES record last updated: September 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 22, 2024, Dec 13, 2018, Nov 6, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Kiara Michelle Lopez De Latchum Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIARA MICHELLE LOPEZ DE LATCHUM PA-C (NPI 1063924181) is an individual medical provider in Temple, Pennsylvania, licensed in Pennsylvania (MA059530) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063924181

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKIARA MICHELLE LOPEZ DE LATCHUMCredential: PA-C

Location Address4301 5TH STREET HWY STE 101Temple, PA 19560-1739

Mailing Address1420 Lancaster AveReading, PA 19607-1540 · (484) 467-7391

Phone(610) 208-8800

Fax(610) 898-1336

Sole ProprietorNo

Enumeration DateOctober 30, 2017

Last NPPES UpdateSeptember 22, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2024

✔ NPI 1063924181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA059530

4301 5TH STREET HWY STE 101, Temple, PA 19560

Open in Google Maps ↗

Other Names 1

Former Name (1)Kiara Aguayo Lopez

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiara Michelle Lopez De Latchum Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiara Lopez De Latchum's NPI number?

The NPI number for Kiara Lopez De Latchum is 1063924181. It was assigned to this individual provider in the NPPES registry on October 30, 2017. The provider is also known as Kiara Aguayo Lopez.

Where is Kiara Lopez De Latchum located?

Kiara Lopez De Latchum practices at 4301 5th Street Hwy Ste 101, Temple, PA 19560. The listed phone number is (610) 208-8800.

What is Kiara Lopez De Latchum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kiara Lopez De Latchum enrolled in Medicare?

Yes. Kiara Lopez De Latchum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiara Lopez De Latchum was last updated on September 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.