Individual provider Active NPI

Latoya Griffin

  • Family Nurse Practitioner
  • Cocoa, FL
National Provider Identifier
1053910778
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009842 Issued in FL
Practice address
4910 Falcon Blvd
Cocoa, FL 32927-3034
Phone
(321) 917-4231
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11009842 FL Primary

Addresses

Primary practice location

4910 Falcon Blvd
Cocoa, FL 32927-3034

Mailing address

4910 Falcon Blvd
Cocoa, FL 32927-3034
Phone (321) 917-4231

Other practice location 1

1264 US Highway 1 Ste 105
Rockledge, FL 32955-2746
Phone (321) 877-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817003954 FL Practitioner - Nurse Practitioner 1254714652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11009842FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soriano Physician Services PLLC Single Specialty CurrentSince Nov 27, 2023 Accepting new patients

Locations

503 Delannoy Ave
Cocoa, FL 32922
Phone (321) 631-6995

1264 US Highway 1
Ste 105
Rockledge, FL 32955
Phone (321) 626-6248

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1053910778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 FALCON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329273034",
            "telephone_number": "321-917-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 FALCON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329273034",
            "telephone_number": "321-917-4231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1264 US Highway 1 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329552746",
            "country_code": "US",
            "telephone_number": "321-877-0007",
            "fax_number": "321-338-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "LATOYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.