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DR. LATISHA NICOLE SMITH
NPI 1194352591
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since March 25, 2020
COMNAVSURFPAC, 2841 RENDOVA ROAD, SAN DIEGO, CA 92155(619) 556-8449 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Jan 19, 2023, Mar 25, 2020 (3 updates tracked since 2020).

About Dr. Latisha Nicole Smith NPPES

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

DR. LATISHA NICOLE SMITH (NPI 1194352591) is an individual psychiatric/mental health provider in San Diego, California, licensed in Washington (AP61318754) and active in the NPI registry since March 2020. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194352591
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. LATISHA NICOLE SMITH
Location AddressCOMNAVSURFPAC, 2841 RENDOVA ROADSan Diego, CA 92155-5490
Mailing Address2170 Birch Rd Apt 110Chula Vista, CA 91915-2034 · (301) 300-1199
Phone(619) 556-8449
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1194352591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61318754
COMNAVSURFPAC, San Diego, CA 92155
Open in Google Maps ↗

Secondary Practice Locations 4

Location 19040 Jackson AveTacoma, WA 98431-0001 · Phone (301) 300-1199
Location 2Children's Hospital of Philadelphia, 3401 Civic Center BlvdPhiladelphia, PA 19104 · Phone (301) 300-1199
Location 3Walter Reed National Military Medical CenterBethesda, MD 20889-0001 · Phone (301) 300-1199
Location 4Fort Belvoir Community Hospital, 9300 DeWitt LoopFort Belvoir, VA 22060 · Phone (301) 300-1199

Other Identifiers 1

Other1194352591WA · Tri-care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE MCGRAW BOISVERT MD
Internal Medicine
COMNAVSURFPAC, 2841 RENDOVA RD
SAN DIEGO, CA 92155
San Diego County (619) 881-9169
KYLE BOSTEDT PT, DPT
Physical Therapist
COMNAVSURFPAC
SAN DIEGO, CA 92155
San Diego County (619) 437-2860
DR. CATHERINE NICOLE CLOETTA D.D.S.
Dentist
COMNAVSURFPAC, 2841 RENDOVA RD
SAN DIEGO, CA 92155
San Diego County (619) 545-8486

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 Latisha Smith's NPI number?

The NPI number for Latisha Smith is 1194352591. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Latisha Smith located?

Latisha Smith practices at Comnavsurfpac 2841 Rendova Road, San Diego, CA 92155. The listed phone number is (619) 556-8449.

What is Latisha Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Latisha Smith accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Latisha Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latisha Smith was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.