KATHLEEN LATHRAM (NPI# 1922126713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922126713 |
| Entity Type | Individual |
| Full Name | KATHLEEN LATHRAM |
| Practice Address |
12276 San Jose Blvd Ste 507 Jacksonville FL 32223-8628 |
| Practice Telephone | 9042888910 |
| Practice Fax Number | 9042888912 |
| Mailing Telephone | 9042888910 |
| Mailing Fax Number | 9042888912 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
FL | Allopathic & Osteopathic Physicians |
| Street Address |
12276 SAN JOSE BLVD STE 507 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925922 | Luna I Khadour | Family Medicine | 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 | 2005-07-14 |
| 1538773239 | Brenda Eileen Haga | Rehabilitation Practitioner | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-09-01 |
| 1073123600 | Catiana Augusme | Behavior Technician | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-08-07 |
| 1275066185 | Glenn Allan Turner Jr. | Behavior Technician | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223 | 2017-04-07 |
| 1063952547 | Kayleigh Ansteatt | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2017-03-02 |
| 1295279834 | Riyam Dhahir Yaseen | Developmental Therapist | 12276 San Jose Blvd, 508, Jacksonville, FL 32223-8628 | 2016-12-16 |
| 1316496417 | Ari Wallace | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-09-29 |
| 1992250492 | Lauren Beth Philbrick | Developmental Therapist | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2016-08-24 |
| 1922553882 | Brandi Marie Higginbotham | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| 1598210346 | Katharine Streets | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831641562 | Deanna Seymour | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2016-10-28 |
| 1902131147 | Laura Fallgatter | Pediatrics | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2009-10-06 |
| 1174792535 | Karen Lebrecht | Pediatrics | 12276 San Jose Blvd, Suite 507, Jacksonville, FL 32223-8628 | 2008-02-29 |
| 1144429432 | Trisha Vanbrederode Kee | Pediatrics | 12276 San Jose Blvd, Suite 507, Jacksonville, FL 32223-8628 | 2007-07-16 |
| 1164540092 | Candace Moseley | Pediatrics | 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223-8618 | 2007-03-27 |
| 1518085307 | Jerilyn Jones | Pediatrics | 12276 San Jose Blvd, Ste 507, Jacksonville, FL 32223-8628 | 2007-03-27 |
| 1013035815 | Bridget Sharrar | Pediatrics | 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223-8618 | 2007-03-27 |
| 1215054366 | Tenee Holland | Pediatrics | 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223-8618 | 2007-03-23 |
| 1851440333 | Joseph Pesek IIi | Pediatrics | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215596309 | Theresa M Nivar | Pediatrics | 1521 Se 1st Ter, Cape Coral, FL 33990-1752 | 2019-06-11 |
| 1962997858 | Michelle Nicole Nguyen | Pediatrics | 1329 Sw 16th St Rm 4160, Gainesville, FL 32608-1128 | 2018-06-25 |
| 1720506793 | Alberto Castillo | Pediatrics | 16641 Sw 199 Ave, Miami, FL 33187 | 2017-08-30 |
| 1851714620 | Developmental Behavioral Pediatrics | Pediatrics | 950 S Winter Park Dr, Suite 302, Casselberry, FL 32707-5457 | 2014-01-29 |
| 1689997009 | Ann Wellington Alexander | Pediatrics | 6200 Sw 37th Way, Gainesville, FL 32608-5106 | 2010-03-12 |
| 1699849893 | Judith D. Aronson Ramos, Md, Pa | Pediatrics | 5350 West Hillsboro Blvd, Suite 207, Coconut Creek, FL 33073 | 2006-11-20 |
| 1881771673 | Lionel Q. Tridas | Pediatrics | 508 S Habana Ave Ste 340, Tampa, FL 33609 | 2006-11-01 |
| 1316959075 | Emilie Sy-te | Pediatrics | 615 E Princeton St Ste 300, Orlando, FL 32803-1468 | 2006-08-12 |
| 1417988858 | Alan M Davick | Pediatrics | 1105 Cultural Park Blvd, Cape Coral, FL 33990-1217 | 2006-07-05 |
| 1689272353 | Innovative Behavior Therapy Solutions | Pediatrics | 5899 Whitfield Ave Ste 203, Sarasota, FL 34243-6153 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.