Organization Active NPI

Transcendent Multiservice Assist, LLC

  • Registered Nurse First Assistant
  • Jacksonville, FL
National Provider Identifier
1013419282
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN9166964 Issued in FL
Legal business name
TRANSCENDENT MULTISERVICE ASSIST, LLC
Practice address
15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone
(904) 382-1987
NPI assigned
Mar 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendi J Keeney, RNNPI 1255735924
Title
Rnfa
Phone
(904) 382-1987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X RN9166964 FL Primary

Addresses

Primary practice location

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273

Mailing address

9526 Argyle Forest Blvd Unit B2
Jacksonville, FL 32222-2827
Phone (904) 382-1987

Other identifiers 2

IdentifierTypeStateIssuer
014090900MedicaidFL
1255735924OtherFLNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

9526 Argyle Forest Blvd
Unit B2
Jacksonville, FL 32222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1013419282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 ARGYLE FOREST BLVD UNIT B2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222827",
            "telephone_number": "904-382-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 MAX LEGGETT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187273",
            "telephone_number": "904-382-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDENT MULTISERVICE ASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "904-382-1987",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9166964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014090900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1255735924",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.