Active NPI
Full-Out Wellness Healthcare Staffing
- Nursing Care Agency
- Jacksonville, FL
National Provider Identifier
1063819548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 1757
- Legal business name
- FULL-OUT WELLNESS HEALTHCARE STAFFING
- Practice address
- 9263 Thunderbolt Dr
Jacksonville, FL 32221-8054 - Phone
- (904) 307-9493
- NPI assigned
- Nov 26, 2014
- Last updated
- Apr 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tashana Lapierre
- Title
- Administrator
- Phone
- (904) 307-9493
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 1757 | FL | Primary |
| Technician | 374700000X | 1757 | FL | |
| Nurse's Aide | 376K00000X | 1757 | FL | |
| Registered Nurse | 163W00000X | 1757 | FL | |
| Licensed Practical Nurse | 164W00000X | 1757 | FL |
Addresses
Primary practice location
9263 Thunderbolt Dr
Jacksonville, FL 32221-8054
Mailing address
9263 Thunderbolt Dr
Jacksonville, FL 32221-8054
Phone (904) 307-9493
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Licensed Practical Nurse
- Jacksonville, FL
- NPI 1902645526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430092800000",
"number": "1063819548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9263 THUNDERBOLT DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322218054",
"telephone_number": "904-307-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9263 THUNDERBOLT DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322218054",
"telephone_number": "904-307-9493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL-OUT WELLNESS HEALTHCARE STAFFING",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-26",
"last_updated": "2015-04-27",
"status": "A",
"authorized_official_last_name": "LAPIERRE",
"authorized_official_first_name": "TASHANA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "904-307-9493",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "1757",
"primary": true
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "FL",
"license": "1757",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "1757",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "1757",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "1757",
"primary": false
}
],
"identifiers": [],
"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 Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.