KETRICK LONIE LACOSTE
NPI 1215514898
Student in an Organized Health Care Education/Training Program in Jacksonville, FL
NPI Status: Active since March 28, 2021
Contact Information
655 W 8TH ST # C126
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-5946
Fax: (904) 244-3957
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About KETRICK LACOSTE
This page provides the complete NPI Profile along with additional information for Ketrick Lacoste, a primary care provider established in Jacksonville, Florida with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1215514898 assigned on March 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1215514898
- Provider Name
- KETRICK LONIE LACOSTE
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 655 W 8TH ST # C126 JACKSONVILLE, FL 32209
- Location Phone
- (904) 244-5946
- Location Fax
- (904) 244-3957
- Mailing Address
- 655 W 8TH ST # C126 JACKSONVILLE, FL 32209
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-28-2021
- Last Update Date
- 03-28-2021
- Code Navigator
A primary care provider (PCP) like Ketrick Lacoste sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Ketrick Lacoste is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 5 | 1 | 4 | 8 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 10 | 1 | 8 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 0 + 1 + 8 + 8 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1215514898 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922635945 | ALEX MARTIN MOSES Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-6810 |
| 1659958122 | DR. ANDRES LOPEZ MD Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-5946 |
| 1285383398 | DR. NICOLAS GIUSTI MD Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-8203 |
| 1366023855 | DR. JONATHAN ARIAS MD Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-5946 |
| 1114621570 | DIVYA PARAMASIVAM DPM Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-3831 |
| 1346945086 | JOHN MICKLEY Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-3831 |
| 1942902564 | KRISTINE DIONE GILLENWATER Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-3831 |
| 1386393437 | JAYANTH KUMAR MD Individual | Orthopaedic Surgery | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-3831 |
| 1770114860 | DR. MARIBEL ESPINOZA DPM Individual | Podiatrist (Foot & Ankle Surgery) | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 383-1010 |
| 1114653888 | JOSE ZERMENO MD Individual | Orthopaedic Surgery | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 383-1010 |
| 1760942924 | ALISA GEIER Individual | Orthopaedic Surgery | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-6810 |
| 1508617226 | MASON FAWCETT Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-8203 |
| 1699525261 | ALYCIA WILLIAMS Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-3831 |
| 1790536852 | WILLIAM HEINRICH JR. DPM Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 383-1010 |
| 1124820584 | NICHOLAS KRAKE DPM Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 383-1010 |
| 1316748429 | BLAKE HAMIL Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 383-1010 |
| 1457152662 | DR. DELANO ROJAY TRENCHFIELD MD Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 383-1010 |
| 1639971179 | MEGAN LUCAVS Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 383-1010 |
| 1760283758 | MICHAELA CUSHING MD Individual | Student in an Organized Health Care Education/Training Program | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 383-1010 |
| 1497405781 | ALEXSANDRA SZAJNA DPM Individual | Podiatrist (Foot & Ankle Surgery) | 655 W 8TH ST # C126 JACKSONVILLE, FL 32209 (904) 244-6505 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215514898, enumerated in the NPI registry as an "individual" on March 28, 2021
The provider is located at 655 W 8th St # C126 Jacksonville, Fl 32209 and the phone number is (904) 244-5946
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 28, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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