LATASHA PRUITT DNP, FNP-BC
NPI 1790940666
Nurse Practitioner - Family in Greenville, SC
About Latasha Pruitt Dnp, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATASHA PRUITT DNP, FNP-BC (NPI 1790940666) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (3619) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Latasha Pruitt Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Latasha Pruitt's NPI number?
The NPI number for Latasha Pruitt is 1790940666. It was assigned to this individual provider in the NPPES registry on July 21, 2008.
Where is Latasha Pruitt located?
Latasha Pruitt practices at 3901 Pelham Rd, Greenville, SC 29615. The listed phone number is (864) 288-3672.
What is Latasha Pruitt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Latasha Pruitt enrolled in Medicare?
Yes. Latasha Pruitt is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Latasha Pruitt was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Latasha Pruitt, DNP, FNP-BC · NPI 1790940666
Family physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since July 21, 2008.
## Identity
- **NPI:** 1790940666 (Entity type: Individual)
- **Enumerated:** July 21, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3619 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3901 PELHAM RD, Greenville, SC 29615-5004
- **Phone:** (864) 288-3672
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790940666) · Data from the CMS NPPES public registry.