REIDIS LATA DO
NPI 1275237547
Student in an Organized Health Care Education/Training Program in Lexington, KY

Q: What is Reidis Lata's NPI number?

The NPI number for Reidis Lata is 1275237547. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Reidis Lata's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Reidis Lata was last updated on April 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 29, 2023PECOS Enrolled

900 S LIMESTONE CTW 304, LEXINGTON, KY 40536(859) 323-2834(859) 257-2605 Get Directions Write a Review

NPPES record last updated: April 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Reidis Lata Do NPPES

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

REIDIS LATA DO (NPI 1275237547) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275237547

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameREIDIS LATACredential: DO

Location Address900 S LIMESTONE CTW 304Lexington, KY 40536-0001

Mailing Address900 S Limestone Ctw 324Lexington, KY 40536-0293 · (859) 323-2834 · Fax (859) 257-2605

Phone(859) 323-2834

Fax(859) 257-2605

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateApril 1, 2023

NPPES CertifiedApril 1, 2023

✔ NPI 1275237547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

900 S LIMESTONE CTW 304, Lexington, KY 40536

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reidis Lata Do 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.

Other Providers at the Same Location NPPES 20

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

DR. MISA ITO MD PHD

Student in an Organized Health Care Education/Training Program