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

Latasha Reid

Individual provider Registered Nurse · NPI 1992210165

Latasha Reid is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2018, 8 years ago. Practices with Bluegrass Kidney Consultants PSC, a 19-clinician group. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

8019 Dixie Hwy Ste 101
Louisville, KY 40258-1303
Phone: (502) 333-3121
Fax: (502) 531-9538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3012355 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 112721 (KY)

Record details

NPI number1992210165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 8, 2017
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Bluegrass Kidney Consultants Psc — 19 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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