Individual provider Active NPI

Latisa Tiana Lynch, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1235473638
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9270159 Issued in FL
Practice address
4620 N 22ND St
Tampa, FL 33610-6205
Phone
(813) 272-6240
Fax
(813) 866-0929
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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 ARNP 9270159 FL Primary

Addresses

Primary practice location

4620 N 22ND St
Tampa, FL 33610-6205

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930

Other names 1

  • Latisa Tiana Hines 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
I20121206000122 FL Practitioner - Nurse Practitioner 7810149432 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

7321 Park Blvd N
Pinellas Park, FL 33781-2922
Phone (727) 306-1844

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Feb 4, 2019 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Guardian Biologics LLC CurrentSince Feb 27, 2025 Accepting new patients
Regional Healthcare Group LLC CurrentSince Feb 27, 2025 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 15, 2024 Accepting new patients
Mobile Wound Care Services - Florida PA CurrentSince Nov 8, 2025 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Feb 4, 2019 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Feb 4, 2019 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Feb 4, 2019 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 15, 2024 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Take Care Health Services PA Family Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

7321 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 306-1844

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1235473638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930",
            "fax_number": "813-866-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106205",
            "telephone_number": "813-272-6240",
            "fax_number": "813-866-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "LATISA",
        "middle_name": "TIANA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9270159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATISA",
            "last_name": "HINES",
            "middle_name": "TIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.