NPI age
2 years
Enumerated 2024-03-12
● Active
Type 1 · Individual
Jaivion Lattimore
Lattimore is 1 of 83 specialist/technologist providers in Fort Worth and 1 of 3379 in Texas.
Primary specialty
Specialist/Technologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3379 active specialist/technologist providers in Texas.
NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-03Enumerated in NPPES
2024
2026
Where they practice
Practice location
6817 Cumberland Rd
Fort Worth, TX 761169101
Mailing address
4600 Mark IV Pkwy # 1616215
Fort Worth, TX 761618501
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
900 W Fogg St
Fort Worth, TX 761106127
Location 3
3909 Wilkie Way
Fort Worth, TX 761332859
Specialties
-
Specialist/Technologist PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new specialist/technologist provider has been added in Fort Worth in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.