Individual provider Active NPI

Latoya Rose, FNP

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1659010486
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019965 Issued in FL
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

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11019965OtherFLFLORIDA BOARD OF NURSING

Other names 1

  • Latoya Mitchell Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818000577 FL Practitioner - Nurse Practitioner 5193108512 Reassigns benefits to 4 organizations

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
Advanced Care Hospitalists PLGroup PAC ID 5092753632, 66 clinicians

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 Hospital, Plant City, FL, CCN 100132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jul 26, 2025 Accepting new patients
Hope Hospice and Community Services, Inc CurrentSince Jun 1, 2025 Accepting new patients
Complexcare Medical Group Southeast H PLLC CurrentSince Aug 31, 2025 Accepting new patients
Theoria Medical CurrentSince May 11, 2025 Accepting new patients
Advanced Care Hospitalists PL CurrentSince Jun 1, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.