Latara Taylor, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11007178 Issued in FL

Practice address

14518 Cherry Lake Dr W
Jacksonville, FL 32258-5140

Phone

(904) 629-9164

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: latara.taylor.1@18731.direct.athenahealth.com

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.

• Caremax Clinic 711 LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1609359249
  Medicare reassignment NPD
• Tele Med Clinix LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sanford, FL
  • NPI 1780204305
  Medicare reassignment NPD
• Harmony Road Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1952022337

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Midwest Home Physicians Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1760086540

  FL

  Medicare reassignment NPD
• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  FL

  Medicare reassignment NPD
• New Horizons Living

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
  • NPI 1134963713
  Medicare reassignment NPD
• Serenity Psychiatry Group Incorporated

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1033972047

  Family

  NPD Authorized official
• Latara Taylor NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New City, NY
  • NPI 1073452264
  NPD Authorized official
• TMS Therapy Clinic of Orlando, LLC

  • Adult Mental Health Clinic/Center
  • Orlando, FL
  • NPI 1215331822
  NPD (past)
• Bicycle Health Medical Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Seattle, WA
  • NPI 1194342162
  NPD (past)
• Tele Med Clinix Lousiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1346085719
  NPD (past)

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1316573173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14518 CHERRY LAKE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585140",
            "telephone_number": "904-200-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14518 CHERRY LAKE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585140",
            "telephone_number": "904-629-9164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 N Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328046425",
            "country_code": "US",
            "telephone_number": "407-701-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 N Logan St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802031939",
            "country_code": "US",
            "telephone_number": "720-674-8648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LATARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007178",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1081153",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "CAPN0003970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Taylor, OTR/L
• Kesha Devona Taylor
• Ki'Yana Taylor
• Kimber Taylor
• Kristin Taylor, M.D.
• Lavyn Taylor, QASP
• Leah F Taylor
• Levelda Diane Taylor, CNA
• Mark Anthony Taylor, D.C.
• Mary Alice Taylor, RMHCI

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.