Christie Jean Latulippe, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

14604 Issued in FL

Practice address

3781 S Nova Rd
Port Orange, FL 32129-4291

Phone

(386) 574-8388

Fax

(386) 574-0495

NPI assigned

May 2, 2007

Last updated

Apr 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1154542397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294291",
            "telephone_number": "386-574-8388",
            "fax_number": "386-574-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294291",
            "telephone_number": "386-574-8388",
            "fax_number": "386-574-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATULIPPE",
        "first_name": "CHRISTIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "14604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Larsen, RBT
• Brittney Larson
• Elizabeth Larson
• Valerie L Larubbio
• Sajid Latif, M.D.
• Karen A Laudisio
• Imelda C Lavarias
• Brandon Lavelle, D.C.
• Madiey F. Lawindy, M.D.
• Latrellini Lawrence

• Dentist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.

Verify at the official NPI Registry.