Active NPI
Latoya Griffin
- Family Nurse Practitioner
- Cocoa, FL
National Provider Identifier
1053910778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11009842
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11009842 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soriano Physician Services PLLC | Single Specialty | Current | 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.
-
- Internal Medicine Physician
- Rockledge, FL
- NPI 1093203531
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.