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

Shantel Latta, FNP-C

Individual provider Family Nurse Practitioner · NPI 1962092932

Shantel Latta, FNP-C is a Nurse Practitioner in Blackstone, Virginia. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

103 E Broad St
Blackstone, VA 23824-1815
Phone: (434) 264-3221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10800 Iron Bridge Rd, Chester, VA 23831-1628 — (804) 318-5589

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024180790 (VA)

Record details

NPI number1962092932
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2021
Last updated in NPPESDecember 9, 2023
Certification dateDecember 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blackstone