LATREVET THOMAS APRN - NPI 1417849886 - Nurse Practitioner in Goose Creek, SC

Q: What is Latrevet Thomas's NPI number?

The NPI number for Latrevet Thomas is 1417849886. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Q: What is Latrevet Thomas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Latrevet Thomas was last updated on April 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Latrevet Thomas Aprn NPPES

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

LATREVET THOMAS APRN (NPI 1417849886) is an individual family provider in Goose Creek, South Carolina, licensed in South Carolina (30643) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417849886

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLATREVET THOMASCredential: APRN

Location Address119 SPRINGHALL DRGoose Creek, SC 29445-5368

Mailing AddressPo Box 530062Atlanta, GA 30353-0062 · (800) 491-0909

Phone(843) 266-2520

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 18, 2025

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1417849886 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

License✔ Licensed in SC · 30643

119 SPRINGHALL DR, Goose Creek, SC 29445

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Other Identifiers 1

MedicaidNN1718SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Latrevet Thomas Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476059924

PECOS Enrollment IDI20251002004008

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

CIELITA K. HALYARD APRN

Nurse Practitioner (Family)