Organization Active NPI

Full-Out Wellness Healthcare Staffing

  • Nursing Care Agency
  • Jacksonville, FL
National Provider Identifier
1063819548
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
1757 Issued in FL
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Ms. Tashana LapierreNPI 1902645526
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.