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Active NPI 1699326439 Individual Practitioner Male Practitioner

Timothy A Lattimore , NURSE PRACTITIONER

Nurse Practitioner • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Timothy Lattimore, NURSE PRACTITIONER is a registered healthcare professional specializing in Nurse Practitioner in Orange Park, FL. Practice services are available at 1594 KINGSLEY AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1594 Kingsley Ave

Orange Park, FL 320734546

Telephone 9042648621
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Orange Park, FL (8990 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
57 45 $153.00 $76.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
13 13 $341.00 $112.06

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11002945

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License FL APRN11002945

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Janet Underkofler , PA

Physician Assistant

NPI 1083613046

Physician Assistant

Angel Torres , RN, PA-C

Physician Assistant

NPI 1235155573

Registered Nurse, Physician Assistant (Certified)

NPI 1316946189

Doctor of Medicine (M.D.)

Jennifer Tarvis , FNP

Nurse Practitioner - Family

NPI 1336743582

Family Nurse Practitioner

NPI 1902508534

Doctor of Osteopathic Medicine (D.O.)

Dr. Craig Dolven , DO

Family Medicine

NPI 1962504787

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2019

Registered at 1594 KINGSLEY AVE, ORANGE PARK, FL 320734546 (Tel: 9042648621)

📍
Updated Business Mailing Address September 27, 2019

Registered at 3616 MORNING MEADOW LN, ORANGE PARK, FL 320737602 (Tel: 9046551153)

👤
Provider Name / Credentials Updated September 27, 2019

Recorded as TIMOTHY LATTIMORE, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2019

Nurse Practitioner (License #APRN11002945 in FL)

🟢
Initial NPI Registration & Enumeration September 23, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699326439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2019
Last Update: September 27, 2019
Sole Proprietor: No

Mailing Address

3616 Morning Meadow Ln

Orange Park, FL 320737602

Phone: 9046551153

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.