Healthletix Management, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HEALTHLETIX MANAGEMENT, LLC

Practice address

3948 Sunbeam Rd Ste 7
Jacksonville, FL 32257-8931

Phone

(904) 268-1190

NPI assigned

Mar 5, 2019

Last updated

Mar 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie LisieckiNPI 1598060824

Title

Business Manager

Phone

(904) 268-1190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Lisiecki, MS, ATC, LAT

  • Athletic Trainer
  • Jacksonville, FL
  • NPI 1598060824
  NPD Authorized official

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1053879437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 SUNBEAM RD STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 SUNBEAM RD STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578931",
            "telephone_number": "904-268-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLETIX MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "LISIECKI",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "904-268-1190"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.