Active NPI
Latoya Rose, FNP
- Family Nurse Practitioner
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11019965
- Practice address
- 4315 Highland Park Blvd Ste a
Lakeland, FL 33813-1639 - Phone
- (813) 651-1085
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11019965 | FL | Primary |
Addresses
Primary practice location
4315 Highland Park Blvd Ste a
Lakeland, FL 33813-1639
Mailing address
13412 Sage Hollow Ave
Riverview, FL 33579-6862
Other practice location 1
13412 Sage Hollow Ave
Riverview, FL 33579-6862
Phone (954) 744-6549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11019965 | Other | FL | FLORIDA BOARD OF NURSING |
Other names 1
- Latoya Mitchell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4315 Highland Park Blvd
Suite D
Lakeland, FL 33813-1639
Phone (863) 816-5884
Hospital & facility affiliations
- South Florida Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Hope Hospice and Community Services, Inc | Current | Accepting new patients | |
| Complexcare Medical Group Southeast H PLLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Advanced Care Hospitalists PL | Current | Accepting new patients | |
| Theoria Medical | Past | Accepting new patients |
Locations (25 of 44)
7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111
9600 Lawrence Rd
Boynton Beach, FL 33436
Phone (561) 252-2779
401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600
2145 N Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8787
545 W Euclid Ave
Deland, FL 32720
Phone (386) 734-9085
991 E New York Ave
Deland, FL 32724
Phone (386) 734-9083
401 Linton Blvd
Delray Beach, FL 33444
Phone (561) 272-7979
2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000
16131 Roserush Ct
Fort Myers, FL 33908
Phone (239) 343-7300
9470 Healthpark Cir
Fort Myers, FL 33908
Phone (239) 433-8073
700 S 29th St
Fort Pierce, FL 34947
Phone (772) 465-7560
207 Hospital Dr NE
Fort Walton Beach, FL 32548
Phone (850) 833-9165
1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673
6414 13th Rd S
Greenacres, FL 33415
Phone (561) 478-9900
1414 59th St S
Gulfport, FL 33707
Phone (727) 344-4608
4200 Washington St
Hollywood, FL 33021
Phone (954) 981-6300
601 Universe Blvd
Juno Beach, FL 33408
Phone (561) 327-3800
4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884
4315 Highland Park Blvd
Ste A
Lakeland, FL 33813
Phone (813) 651-1085
3325 W Jerwayne Ln
Lecanto, FL 34461
Phone (352) 746-4434
701 Lake Port Blvd
Leesburg, FL 34748
Phone (352) 728-3366
110 Lee Ave SE
Live Oak, FL 32064
Phone (386) 364-5961
515 Village Pl
Longwood, FL 32779
Phone (407) 682-0230
3840 Atmore Grove Dr
Lutz, FL 33548
Phone (813) 607-3600
2481 W US 90
Madison, FL 32340
Phone (850) 877-4115
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Lakeland, FL
- NPI 1457389587
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1114225745
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plant City, FL
- NPI 1548205883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1659010486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13412 SAGE HOLLOW AVE",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335796862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 HIGHLAND PARK BLVD STE A",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131639",
"telephone_number": "813-651-1085"
}
],
"practiceLocations": [
{
"address_1": "13412 Sage Hollow Ave",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335796862",
"country_code": "US",
"telephone_number": "954-744-6549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "LATOYA",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11019965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF NURSING",
"identifier": "11019965",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LATOYA",
"last_name": "MITCHELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.