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

MS. Latisa L Roosevelt, RN

Individual provider Registered Nurse · NPI 1174822209

MS. Latisa L Roosevelt, RN is a Registered Nurse in Buffalo, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

400 Forest Ave
Buffalo, NY 14213-1207
Phone: (716) 816-2272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 22 577893 (NY)

Record details

NPI number1174822209
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 15, 2011
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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