Look up the most recent NPI and PECOS records

Latasha Denise Scott

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

12280 Lake Underhill Rd, Orlando, FL 32825-5009

PECOS Enrollment

This provider is enrolled in PECOS as LATASHA SCOTT.

Based on the most recent information from CMS, provider Latasha Denise Scott is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1376180133
Provider Type
Individual
Full Name
Scott, Latasha Denise
Title
Mrs.
Credential
APRN FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/28/2019
Last Updated
2/15/2021

Contact Information

Practice Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(407) 273-3284

Unlisted Fax

Mailing Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(401) 787-6791

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11005209 Florida

Latasha Denise Scott

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Arroyo, Cristina

Brown, Bettye A.

Simmons, Courtney Marie

Webb, Gina M.

Ram, Sharda

Artiles, Maria Inmaculada

Medrano, Urmilla

Way, Jamila Elizabeth

Pedroso Marquez, Tamara

Acosta Luna, Wendy Carol