1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KETRICK LONIE LACOSTE
NPI 1215514898
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 28, 2021PECOS Enrolled
655 W 8TH ST # C126, JACKSONVILLE, FL 32209(904) 244-5946(904) 244-3957 Get Directions Write a Review

NPPES record last updated: March 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ketrick Lonie Lacoste NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETRICK LONIE LACOSTE (NPI 1215514898) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215514898
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKETRICK LONIE LACOSTE
Location Address655 W 8TH ST # C126Jacksonville, FL 32209-6511
Mailing Address655 W 8th St # C126Jacksonville, FL 32209-6511
Phone(904) 244-5946
Fax(904) 244-3957
Sole ProprietorNo
Enumeration DateMarch 28, 2021
NPPES CertifiedMarch 28, 2021
✔ NPI 1215514898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
655 W 8TH ST # C126, Jacksonville, FL 32209
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketrick Lonie Lacoste is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIVYA PARAMASIVAM DPM
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-3831
JOSE ZERMENO MD
Orthopaedic Surgery
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 383-1010
NICHOLAS KRAKE DPM
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 383-1010
DR. NICOLAS GIUSTI MD
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-8203
BLAKE HAMIL
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 383-1010
JOHN MICKLEY
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-3831
DR. JONATHAN ARIAS MD
Student in an Organized Health Care Education/Training Program
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-5946
JAYANTH KUMAR MD
Orthopaedic Surgery
655 W 8TH ST # C126
JACKSONVILLE, FL 32209
Duval County (904) 244-3831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketrick Lacoste's NPI number?

The NPI number for Ketrick Lacoste is 1215514898. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Ketrick Lacoste located?

Ketrick Lacoste practices at 655 W 8th St # C126, Jacksonville, FL 32209. The listed phone number is (904) 244-5946.

What is Ketrick Lacoste's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ketrick Lacoste enrolled in Medicare?

Yes. Ketrick Lacoste is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ketrick Lacoste was last updated on March 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.