Latonya N Fuqua

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

330 Kay Larkin Drive
Palatka, FL 32177

Phone

(386) 329-3780

Fax

(386) 385-1269

NPI assigned

Dec 17, 2010

Last updated

Dec 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1255634937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DRIVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-329-3780",
            "fax_number": "386-385-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DRIVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-329-3780",
            "fax_number": "386-385-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUQUA",
        "first_name": "LATONYA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Miles Frisvold, DPT
• Marquise M Fuce
• Paula B. Fuller, CRNA
• Functional Living Therapy Services PLLC
• Kevin Andre Funk, M.D.
• Dianne Swanson Gaines, PT
• John L Gaines Jr., MD
• Gainesville Vamc
• Carl C Garner Jr., M.D.
• Mary Jane Garris, APRN, FNP-C

• Mental Health Counselor in Palatka, FL
• Providers in Palatka, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.