Latoya Tamara Monique Wilson, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341281 Issued in NY

Practice address

592 Rockaway Ave
Brooklyn, NY 11212-5539

Phone

(718) 345-5000

Fax

(718) 345-5794

NPI assigned

Oct 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brownsville Community Development Corporation

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1578612412
  Medicare reassignment NPD
• Lagrangeville Medical PC

  • Internal Medicine Physician
  • Franklin Square, NY
  • NPI 1861153322
  Medicare reassignment NPD
• Parker Jewish Institute for Health Care and Rehabilitation

  • Skilled Nursing Facility
  • New Hyde Park, NY
  • NPI 1932275427
  Medicare reassignment NPD
• Brownsville Community Development Corporation

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1275722340
  NPD
• Brownsville Community Development Corporation

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1316681430
  NPD
• Brownsville Community Development Corporation

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1376881029
  NPD
• Parker Jewish Institute for Health Care and Rehabilitation

  • Long Term Care Pharmacy
  • New Hyde Park, NY
  • NPI 1306882857
  NPD

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1811408024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125539",
            "telephone_number": "347-345-5000",
            "fax_number": "718-345-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125539",
            "telephone_number": "718-345-5000",
            "fax_number": "718-345-5794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Ashford St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112077315",
            "country_code": "US",
            "telephone_number": "347-505-1800",
            "fax_number": "347-505-6973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LATOYA",
        "middle_name": "TAMARA MONIQUE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-14",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04940070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karlene Nathalie Wilson
• Kathryn Wilson
• Kernette Wilson
• Kerri-Kaye Wilson, RN
• Lacey-Ann Alicia Wilson
• Laura Ann Wilson, MS ED
• Liam Wilson
• Lilia Zheng Wilson, LMSW
• Linda Yvonne Wilson
• Luciana C Wilson, MA CCC-SLP

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.