LATISHA RENEA AMOS, DC, FNP — NPI 1184772931 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care in BROOKSHIRE, TX)

CMS-1500 Box 24J / 33a • NPI

1184772931

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LP2300X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care

Box 32 Service Location & ZIP+4

606 WALLER AVE, BROOKSHIRE, TX, 77423-9371

✓ 9-Digit EDI 837 ZIP+4 (77423-9371)

Practice Phone & Referral Fax

(281) 934-1000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184772931 (LATISHA RENEA AMOS, DC, FNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1184772931` (NPI-1 Individual Practitioner)
Provider / Legal Name	LATISHA RENEA AMOS, DC, FNP
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: `363LP2300X` (Nurse Practitioner, Primary Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	606 WALLER AVE, BROOKSHIRE, TX, 77423-9371
Practice Telephone / Fax	Tel: (281) 934-1000
Administrative Mailing Address	8055 FM 359 RD S UNIT 323, FULSHEAR, TX, 77441-1313
Enumeration & Last Sync	Enumerated: 2007-01-08 \| CMS Record Updated: 2025-07-24

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

606 WALLER AVE, BROOKSHIRE, TX, 77423-9371

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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)

What Does Taxonomy Code 363LP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Primary Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LATISHA RENEA AMOS, DC, FNP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111N00000X` — Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor	State: TX \| License: `8885` \| Primary: Secondary
`363LP2300X` — Nurse Practitioner, Primary Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care	State: TX \| License: `AP138721` \| Primary: Yes (Primary)

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LATISHA RENEA AMOS, DC, FNP (NPI #1184772931)