MRS. LATONYA DESHON PATTERSON PMHNP-BC MSN/ED NPI 1093148629

NPI Information

NPI: 1093148629
Provider Name: MRS. LATONYA DESHON PATTERSON, PMHNP-BC, MSN/ED
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5700 LAKE WORTH RD STE 201-A
GREENACRES, FL
ZIP 33463
Phone: (561) 285-7776
Get Directions

MRS. Latonya Deshon Patterson, PMHNP-BC, MSN/ED is a psychiatric/mental health nurse practitioner in Greenacres, FL with 2 years of experience. MRS. Latonya Deshon Patterson, PMHNP-BC, MSN/ED NPI is 1093148629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5700 LAKE WORTH RD STE 201-A
GREENACRES, FL
ZIP 33463-204
Phone: (561) 285-7776

The NPI 1093148629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2013 and was last updated on 2/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11031059	FLORIDA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	223494	ARKANSAS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2023001721	MISSOURI	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	420119436	MEDICAID	MISSOURI
2	298419758	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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