Individual provider Active NPI

Latomia Aikens, ARNP

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1073096657
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9268496 Issued in FL
Practice address
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone
(850) 325-5275
NPI assigned
Sep 10, 2018
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9268496 FL Primary

Addresses

Primary practice location

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402

Mailing address

1845 Jaclif CT
Tallahassee, FL 32308-4430
Phone (850) 999-2328

Other identifiers 1

IdentifierTypeStateIssuer
102654600MedicaidFL

Other names 1

  • Latomia Coogle Former name

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
I20190508003141 FL Practitioner - Nurse Practitioner 6800138066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9268496FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Creek Medical PA Current Accepting new patients
Capital Nephrology Clinic, P.a. CurrentSince Apr 15, 2019 Accepting new patients
My Home Doctor, LLC Past Accepting new patients

Locations

1381 Cross Creek Cir
#A
Tallahassee, FL 32301
Phone (850) 877-6393

1845 Jaclif Ct
Tallahassee, FL 32308
Phone (850) 325-1212

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CADACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CADACD/Endpoint/CADACD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1073096657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 JACLIF CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084430",
            "telephone_number": "850-999-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084402",
            "telephone_number": "850-325-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIKENS",
        "first_name": "LATOMIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9268496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102654600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATOMIA",
            "last_name": "COOGLE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.