Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latasha Carothers

Individual provider Registered Nurse · NPI 1548013592

Latasha Carothers is a Nurse Practitioner in Collierville, Tennessee. Qualified in 2025, 1 year ago. Practices with Ultra Health LLC, a 162-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
1
Licensed in
MS, TN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

490 W Poplar Ave
Collierville, TN 38017-2538
Phone: (731) 394-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2434 S Eason Blvd, Tupelo, MS 38804-6942 — (662) 640-4595

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 39080 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 908671 (MS)

Record details

NPI number1548013592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2024
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ultra Health Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Collierville