Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407718364 Individual Practitioner Female Practitioner

Latisha Watkins , LPN

Licensed Practical Nurse • Palm Bay, FL

Professional Overview & Biography Verified Profile Summary

Latisha Watkins, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Palm Bay, FL. Practice services are available at 2859 ANJAR AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2859 Anjar Ave Sw

Palm Bay, FL 329085027

Telephone 3217049510

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Palm Bay, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Palm Bay, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-01
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN5187064

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 01, 2025

NPI status registered as active in NPPES database

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Updated Practice Location December 01, 2025

Registered at 2859 ANJAR AVE SW, PALM BAY, FL 329085027 (Tel: 3217049510)

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Updated Business Mailing Address December 01, 2025

Registered at 2859 ANJAR AVE SW, PALM BAY, FL 329085027

👤
Provider Name / Credentials Updated December 01, 2025

Recorded as LATISHA WATKINS, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Licensed Practical Nurse (License #PN5187064 in FL)

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Initial NPI Registration & Enumeration December 01, 2025

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: 1407718364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2025
Last Update: December 01, 2025
Sole Proprietor: Yes

Mailing Address

2859 Anjar Ave Sw

Palm Bay, FL 329085027

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.