IndividualActive
Latisa Roosevelt, RN
NPI 1174822209 · Registered Nurse · Buffalo, NY
Latisa Roosevelt, RN is a Registered Nurse provider in Buffalo, NY (NPI 1174822209).
Provider details
- NPI number
- 1174822209
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 22 577893 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Forest Ave
Buffalo, NY 14213-1207
Phone: (716) 816-2272
Street-level locationGet directions
Mailing address
37 Freeman St
Buffalo, NY 14215-2704
Registry dates
- Enumerated
- 2011-03-15
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Frequently asked questions
- What is Latisa Roosevelt's NPI number?
- Latisa Roosevelt's National Provider Identifier (NPI) is 1174822209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Latisa Roosevelt's specialty?
- Latisa Roosevelt is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Latisa Roosevelt located?
- Latisa Roosevelt's practice location on file with NPPES is 400 Forest Ave, Buffalo, NY 14213-1207.
- What is Latisa Roosevelt's phone number?
- The practice phone number listed in the NPPES registry for Latisa Roosevelt is (716) 816-2272.
- Is Latisa Roosevelt's NPI active?
- Yes — Latisa Roosevelt's NPI (1174822209) is active in the NPPES registry as of the last update on 2025-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.