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Latoya Butler

Physician β€’ Jacksonville, FL

Deactivated NPI 1447850185 Deactivated in NPPES Female Practitioner
Practice location in NPPES

5710 Lenox Ave Apt 121
Jacksonville, FL 322056383

Phone: 9049942914

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 29, 2023; the reason is not published. The records below are historical. They do not show whether Latoya Butler currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 30, 2020
NPI Deactivation Date March 29, 2023
NPI Active Period 2020 – 2023

Practice Location & Contact Primary Location

Practice Address

5710 Lenox Ave Apt 121

Jacksonville, FL 322056383

Telephone 9049942914
Fax 9048002625
Organization at the Same NPPES Address or Phone
Angels Over Elders Llc Facility NPI 1104165471

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Jacksonville and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
⚠️
NPI Profile Deactivated March 29, 2023

NPPES lists this NPI as deactivated as of March 29, 2023; the reason is not published.

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Updated Practice Location September 21, 2022

Registered at 3601 KERNAN BLVD S APT 934, JACKSONVILLE, FL 322249690 (Tel: 9049942914)

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Updated Business Mailing Address September 21, 2022

Registered at 3601 KERNAN BLVD S APT 934, JACKSONVILLE, FL 322249690 (Tel: 9049942914)

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2022

Adult Companion

βœ…
NPI Profile Active October 30, 2020

NPI status registered as active in NPPES database

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Practice Location (Initial Record) October 30, 2020

Registered at 5710 LENOX AVE APT 121, JACKSONVILLE, FL 322056383 (Tel: 9049942914)

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Business Mailing Address (Initial Record) October 30, 2020

Registered at 5710 LENOX AVE APT 121, JACKSONVILLE, FL 322056383 (Tel: 9049942914)

πŸ‘€
Provider Name / Credentials (Initial Record) October 30, 2020

Recorded as LATOYA BUTLER

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2020

Home Health

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Initial NPI Registration & Enumeration October 30, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447850185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2020
Last Update: October 30, 2020
Deactivation Date: March 29, 2023

Mailing Address

5710 Lenox Ave Apt 121

Jacksonville, FL 322056383

Phone: 9049942914

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.