Individual provider Active NPI

Latanya Hutton, APRN, FNP-BC

  • Primary Care Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1699242289
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP11000011 Issued in FL
Practice address
1320 Woodcrest Rd E
West Palm Beach, FL 33417-5751
Phone
(386) 868-8538
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X ARNP11000011 FL Primary

Addresses

Primary practice location

1320 Woodcrest Rd E
West Palm Beach, FL 33417-5751

Mailing address

1320 Woodcrest Rd E
West Palm Beach, FL 33417-5751
Phone (386) 868-8538

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
I20190612001054 FL Practitioner - Nurse Practitioner 0446583124 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP11000011FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad T Javed, Mdpa CurrentSince Jan 26, 2019 Accepting new patients
Mohammad T Javed MD PA Single Specialty CurrentSince Jan 26, 2019 Accepting new patients

Locations

6447 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 204-5111

11476 Okeechobee Blvd
Royal Palm Beach, FL 33411
Phone (561) 204-5111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1699242289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOODCREST RD E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334175751",
            "telephone_number": "386-868-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODCREST RD E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334175751",
            "telephone_number": "386-868-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "LATANYA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP11000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.