HALEY AYDAM LATTAL
NPI 1972140259
Nurse Practitioner - Pediatrics in Houston, TX

Q: What is Haley Lattal's NPI number?

The NPI number for Haley Lattal is 1972140259. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Q: What is Haley Lattal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Haley Lattal was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 05, 2019PECOS Enrolled

6701 FANNIN ST, HOUSTON, TX 77030(832) 828-3660 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Haley Aydam Lattal NPPES

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

HALEY AYDAM LATTAL (NPI 1972140259) is an individual pediatrics provider in Houston, Texas, licensed in Texas (201910081) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972140259

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameHALEY AYDAM LATTAL

Location Address6701 FANNIN STHouston, TX 77030-2608

Mailing Address2450 Holcombe Blvd Ste Nb34lHouston, TX 77021-2039 · (832) 824-1000

Phone(832) 828-3660

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 5, 2019

✔ NPI 1972140259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 201910081

6701 FANNIN ST, Houston, TX 77030

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Secondary Practice Location 1

Location 12450 Holcombe Blvd Ste Np-34LHouston, TX 77021-2039 · Phone (832) 828-3660

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Aydam Lattal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365924065

PECOS Enrollment IDI20260303001988

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 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 20

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

SONIA ANN MONTEIRO MD

Pediatrics (Developmental - Behavioral Pediatrics)