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

Latova Nichelle Quattlebaum, NP

Individual provider Family Nurse Practitioner · NPI 1659854255

Latova Nichelle Quattlebaum, NP is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2017, 9 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1228 Harden St Ste B
Columbia, SC 29204-1800
Phone: (803) 733-5969
Fax: (803) 753-5591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Taylor St Ste J, Columbia, SC 29201-2942 — (803) 296-2942

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 21979 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 21979 (SC)

Record details

NPI number1659854255
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 10, 2018
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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