Toni Patricia Lattibeaudiere, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9170276 Issued in FL

Practice address

11801 Trailridge Dr
Potomac, MD 20854-2835

Phone

(954) 487-9057

Fax

(954) 337-0302

NPI assigned

Apr 24, 2014

Last updated

Mar 21, 2025By 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 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medina Yasin Solutions LLCGroup PAC ID 6406106020, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlattibeaudiere187881@mhsdirect.net

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.

• Medina Yasin Solutions LLC

  • Adult Health Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1497252720
  Medicare reassignment Care Compare group NPD
• Endo Care Services, LLC

  • Nursing Care Agency
  • North Lauderdale, FL
  • NPI 1235752148
  Medicare reassignment Authorized official
• South Broward Hospital District

  dba Memorial Division of General Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Hollywood, FL
  • NPI 1750756466
  Medicare reassignment NPD
• Diabetes Care and Wellness Management LLC

  • Family Nurse Practitioner
  • Potomac, MD
  • NPI 1982426714
  NPD Authorized official
• South Broward Hospital District

  dba Memorial Home Infusion

  • Home Infusion Therapy Pharmacy
  • Miramar, FL
  • NPI 1043656614
  NPD

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1558781906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 TRAILRIDGE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542835",
            "telephone_number": "954-487-9057",
            "fax_number": "954-337-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 TRAILRIDGE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542835",
            "telephone_number": "954-487-9057",
            "fax_number": "954-337-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIBEAUDIERE",
        "first_name": "TONI",
        "middle_name": "PATRICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9170276",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500014800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356158-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R262100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188220",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "ARNP9170276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023499300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preeti Kumrah, DPM
• Kiran Lakshman
• Kim Hung Lam, RPH
• Judith Lapidus, OTR/L
• Nanette R Larose, DDS
• Lauren Mazow Boyle, PH.D., LLC
• Ellie Elizabeth Lavery
• Bruce Lee Lazerow, B.A., B.S., O.D.
• Ponleaarun Le, CRNP
• Lee Haller MD PC

• Adult Health Nurse Practitioner in Potomac, MD
• Providers in Potomac, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.

Verify at the official NPI Registry.