Individual provider Active NPI

Latrice N. Markison, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1770149569
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11002166 Issued in FL
Practice address
1200 S Pine Island Rd Ste 250
Plantation, FL 33324-4459
Phone
(415) 403-2156
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 115878 WV
Nurse Practitioner 363L00000X 71015301A IN
Family Nurse Practitioner 363LF0000X APRN11002166 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP231007 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11002166 FL Primary

Addresses

Primary practice location

1200 S Pine Island Rd Ste 250
Plantation, FL 33324-4459

Mailing address

PO Box 340702
Tampa, FL 33694-0702
Phone (813) 551-1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NH, ME3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210713000668 FL Practitioner - Nurse Practitioner 9335541457 Reassigns benefits to 3 organizations
I20230419001825 NH Practitioner - Nurse Practitioner 9335541457 Reassigns benefits to 2 organizations
I20231219003148 ME Practitioner - Nurse Practitioner 9335541457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71015301AINMDNurse Practitioner
115878WVMDNurse Practitioner
CNP231007MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 1, 2022 Accepting new patients
Recover Together, LLC Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Centermark Health LLC Psychiatric/Mental Health CurrentSince Dec 24, 2024 Accepting new patients
Recover Together, Inc. Nurse Practitioner CurrentSince Mar 23, 2021 Accepting new patients
Harmony United Florida, LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

201 2nd St E
Bradenton, FL 34208
Phone (941) 745-7205

11531 W Emerald Oaks Dr
Crystal River, FL 34428

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

27251 Wesley Chapel Blvd
Wesley Chapel, FL 33544
Phone (813) 543-9652

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Dept CH17590
Palatine, IL 60055

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

34 Downeast Hwy
Ellsworth, ME 04605
Phone (207) 266-4006

77 Park St
Rockland, ME 04841
Phone (207) 245-7654

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

40 Winter St
Ste 204
Rochester, NH 03867
Phone (603) 556-8892

Organizations & group practices 5

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1770149569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340702",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336940702",
            "telephone_number": "813-551-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S PINE ISLAND RD STE 250",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244459",
            "telephone_number": "415-403-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKISON",
        "first_name": "LATRICE",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "115878",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71015301A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002166",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP231007",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11002166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.