IndividualActive
Kathleen Lathram
NPI 1922126713 · Developmental - Behavioral Pediatrics Physician · Jacksonville, FL
Provider details
- NPI number
- 1922126713
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12276 San Jose Blvd
Ste 507
Jacksonville, FL 32223-8628
Phone: (904) 288-8910
Fax: (904) 288-8912
Street-level locationGet directions
Mailing address
12276 San Jose Blvd
Jacksonville, FL 32223-8628
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.