Organization Active NPI

Norine Latizke Arnp, LLC

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1053764670
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NORINE LATIZKE ARNP, LLC
Practice address
1018 Thomasville Rd Ste 106
Tallahassee, FL 32303-6271
Phone
(850) 878-0484
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norine Bardill Labitzke, ARNP
Title
Owner
Phone
(850) 878-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1018 Thomasville Rd Ste 106
Tallahassee, FL 32303-6271

Mailing address

1529 Chowkeebin Nene
Tallahassee, FL 32301-4705

Other identifiers 1

IdentifierTypeStateIssuer
014288700MedicaidFL

National Provider Directory

National Provider Directory

Locations

1018 Thomasville Rd
Unit 106
Tallahassee, FL 32303
Phone (850) 878-0484

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1053764670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 CHOWKEEBIN NENE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 THOMASVILLE RD STE 106",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036271",
            "telephone_number": "850-878-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORINE LATIZKE ARNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "BARDILL LABITZKE",
        "authorized_official_first_name": "NORINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-878-0484",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014288700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.