Latoya Tamela Shurman

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

1712454 Issued in FL

Practice address

2235 Barry Dr S
Jacksonville, FL 32208-3033

Phone

(904) 475-2152

Fax

(904) 535-4501

NPI assigned

Mar 3, 2025

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1467250951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12029 ALEXANDRA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188882",
            "telephone_number": "904-251-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 BARRY DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083033",
            "telephone_number": "904-475-2152",
            "fax_number": "904-535-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURMAN",
        "first_name": "LATOYA",
        "middle_name": "TAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "1712454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midiia Shuman, MD
• David Edward Shupe, D.O
• Brian Shurick
• Susan Shurina
• Kelly Lynn Shurman, LMHC
• Elizabeth Shuster, MD
• Lauren Shute
• Emma Shutters
• Leonard A Shvartzman, MD
• Hussam Eldin Moh Shwaib, MD

• Assisted Living Facility (Mental Illness) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.