Active NPI
Jennifer Thuy Khanh Latey, PA-C
- Medical Physician Assistant
- Deerfield Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 9102753
- Practice address
- 750 S Federal Hwy
Deerfield Beach, FL 33441-5767 - Phone
- (954) 421-8181
- Fax
- (954) 426-2967
- NPI assigned
- Oct 17, 2006
- Last updated
- Sep 13, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9102753 | FL | Primary |
Addresses
Primary practice location
750 S Federal Hwy
Deerfield Beach, FL 33441-5767
Mailing address
10617 SW 6TH St
Pembroke Pines, FL 33025-6903
Phone (305) 788-3927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.53 of 100
- Quality
- 85.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54597 | CA | MD | General Practice Dentistry |
| PA 9102753 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC Medical, Inc. | Current | Accepting new patients | |
| Mecnb, LLC | Current | Accepting new patients | |
| U.S. Healthworks Medical Group of Florida, Inc. | Past | Accepting new patients |
Locations
19042 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 251-6300
750 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 421-8181
2311 10th Ave N
Ste 14
Lake Worth, FL 33461
Phone (561) 540-4446
6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123
225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Lancaster, CA
- NPI 1225054257
-
dba AFC Urgent Care of Santa Clarita
- Urgent Care Clinic/Center
- Santa Clarita, CA
- NPI 1992078000
-
dba AFC Urgent Care of Santa Clarita
- Urgent Care Clinic/Center
- Valencia, CA
- NPI 1346834694
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Valencia, CA
- NPI 1447230925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1245310770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10617 SW 6TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330256903",
"telephone_number": "305-788-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 S FEDERAL HWY",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334415767",
"telephone_number": "954-421-8181",
"fax_number": "954-426-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATEY",
"first_name": "JENNIFER",
"middle_name": "THUY KHANH",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9102753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.