BANNER HEALTH AND WELLNESS
NPI 1114811718
Nurse Practitioner - Family in Johnston, RI

Active since June 06, 2025
1559 HARTFORD AVE, JOHNSTON, RI 02919(401) 585-7445 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2025, Aug 6, 2025, Jun 6, 2025 (3 updates tracked since 2025).

About Banner Health And Wellness NPPES

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

BANNER HEALTH AND WELLNESS (NPI 1114811718) is a healthcare organization registered as a family in Johnston, Rhode Island and active in the NPI registry since June 2025. The organization lists Joy Lelia Latorre, Owner, as its authorized official.

NPPES Registry Identity

NPI1114811718
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBANNER HEALTH AND WELLNESS
Location Address1559 HARTFORD AVEJohnston, RI 02919-3225
Mailing Address1559 Hartford AveJohnston, RI 02919-3225 · (401) 332-9444
Organization SubpartNo
Authorized OfficialJoy Lelia LatorreOwner · (401) 332-9444
Enumeration DateJune 6, 2025
Last NPPES UpdateSeptember 15, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1114811718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1559 HARTFORD AVE, Johnston, RI 02919

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Banner Health And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1972046035
1559 HARTFORD AVE
Johnston, RI 02919
(401) 332-9444
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Banner Health And Wellness's NPI number?

The NPI number for Banner Health And Wellness is 1114811718. It was assigned to this organization in the NPPES registry on June 6, 2025.

Where is Banner Health And Wellness located?

Banner Health And Wellness is located at 1559 Hartford Ave, Johnston, RI 02919. The listed phone number is (401) 585-7445.

What is Banner Health And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Banner Health And Wellness enrolled in Medicare?

Yes. Banner Health And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Health And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Banner Health And Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Banner Health And Wellness was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.