Individual provider Active NPI

Latosha Mackey-Epps

  • Nursing Care Agency
  • Jensen Beach, FL
National Provider Identifier
1255548566
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
CNA 128259 Issued in FL
Practice address
3520 NW Treasure Coast Dr
Jensen Beach, FL 34957-4413
Phone
(772) 634-3399
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X CNA 128259 FL Primary

Addresses

Primary practice location

3520 NW Treasure Coast Dr
Jensen Beach, FL 34957-4413

Mailing address

3520 NW Treasure Coast Dr
Jensen Beach, FL 34957-4413

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

LicenseStateTypeSpecialty
CNA 128259FLMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255548566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 NW TREASURE COAST DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 NW TREASURE COAST DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574413",
            "telephone_number": "772-634-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY-EPPS",
        "first_name": "LATOSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "CNA 128259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.