Active NPI
Latoya Mosely Jackson, M.S
- Speech-Language Pathologist
- Lutz, FL
National Provider Identifier
1164976486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ12577
- Practice address
- 16102 N Florida Ave
Lutz, FL 33549-6129 - Phone
- (813) 873-1936
- Fax
- (813) 873-8837
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ12577 | FL | Primary |
Addresses
Primary practice location
16102 N Florida Ave
Lutz, FL 33549-6129
Mailing address
16102 N Florida Ave
Lutz, FL 33549-6129
Phone (813) 873-1936
Other names 1
- Ms. Latoya Deanna Mosely
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ12577 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therakids Plus, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Independent Living Inc. | Developmental Therapist | Past | Accepting new patients |
| Independent Living Inc. | Past | Accepting new patients |
Locations
16102 N Florida Ave
Lutz, FL 33549
Phone (813) 873-1936
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Tampa, FL
- NPI 1124072947
Developmental Therapist
-
- Behavior Analyst
- Tampa, FL
- NPI 1750156519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1164976486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16102 N FLORIDA AVE",
"city": "LUTZ",
"state": "FL",
"postal_code": "335496129",
"telephone_number": "813-873-1936",
"fax_number": "813-873-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16102 N FLORIDA AVE",
"city": "LUTZ",
"state": "FL",
"postal_code": "335496129",
"telephone_number": "813-873-1936",
"fax_number": "813-873-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LATOYA",
"middle_name": "MOSELY",
"name_prefix": "Mrs.",
"credential": "M.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2025-04-22",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ12577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LATOYA",
"last_name": "MOSELY",
"middle_name": "DEANNA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.