Active NPI
Latoya Denise Mikell, LPN
- Licensed Practical Nurse
- Fern Park, FL
National Provider Identifier
1215196597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5158514
- Practice address
- 237 Fernwood Blvd
Fern Park, FL 32730-2116 - Phone
- (407) 831-2411
- Fax
- (407) 831-6760
- NPI assigned
- Jun 3, 2008
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5158514 | FL | Primary |
Addresses
Primary practice location
237 Fernwood Blvd
Fern Park, FL 32730-2116
Mailing address
237 Fernwood Blvd
Fern Park, FL 32730-2116
Phone (407) 831-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN5158514 | Other | FL | LPN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5158514 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1215196597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 FERNWOOD BLVD",
"city": "FERN PARK",
"state": "FL",
"postal_code": "327302116",
"telephone_number": "407-831-2411",
"fax_number": "407-831-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 FERNWOOD BLVD",
"city": "FERN PARK",
"state": "FL",
"postal_code": "327302116",
"telephone_number": "407-831-2411",
"fax_number": "407-831-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKELL",
"first_name": "LATOYA",
"middle_name": "DENISE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5158514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN",
"identifier": "PN5158514",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fern Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.