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MED ONE HEALTH CLINIC, LLC
NPI 1609681345
Nurse Practitioner - Primary Care in Haughton, LA

Active since February 10, 2025
349 DOGWOOD SOUTH LN, HAUGHTON, LA 71037(832) 870-8375 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Med One Health Clinic, Llc NPPES

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

MED ONE HEALTH CLINIC, LLC (NPI 1609681345) is a healthcare organization registered as a primary care in Haughton, Louisiana and active in the NPI registry since February 2025. The organization lists Latrisala Bankston, Owner, as its authorized official.

NPPES Registry Identity

NPI1609681345
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMED ONE HEALTH CLINIC, LLC
Location Address349 DOGWOOD SOUTH LNHaughton, LA 71037-8511
Mailing Address349 Dogwood South LnHaughton, LA 71037-8511
Phone(832) 870-8375
Organization SubpartNo
Authorized OfficialLatrisala BankstonOwner · (832) 870-8375
Enumeration DateFebruary 10, 2025
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1609681345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
349 DOGWOOD SOUTH LN, Haughton, LA 71037
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Med One Health Clinic, LLC's NPI number?

The NPI number for Med One Health Clinic, LLC is 1609681345. It was assigned to this organization in the NPPES registry on February 10, 2025.

Where is Med One Health Clinic, LLC located?

Med One Health Clinic, LLC is located at 349 Dogwood South Ln, Haughton, LA 71037. The listed phone number is (832) 870-8375.

What is Med One Health Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Med One Health Clinic, LLC was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.