Transformation Health LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

TRANSFORMATION HEALTH LLC

Practice address

4400 Bayou Blvd Ste 47-B3
Pensacola, FL 32503-2673

Phone

(850) 696-8069

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By 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

Laticia Jackson, MPH. CPT, CLWMSNPI 1619325362

Title

Owner

Phone

(850) 696-8069

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.

• Laticia Jackson, MPH

  • Health Educator
  • Pensacola, FL
  • NPI 1619325362
  NPD (past) Authorized official

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1063863967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 E OLIVE RD APT 274",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146445",
            "telephone_number": "850-696-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 47-B3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032673",
            "telephone_number": "850-696-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LATICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-696-8069",
        "authorized_official_credential": "MPH. CPT, CLWMS"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lan Tran, ARNP
• Linh Tran, MD
• Ryan Tran, PHARMD
• Tien My Tran, MD
• Nicole Tranchina, MS, CNS
• Sarah Trapp
• Tyra D Trapp, DC
• Candace Trawick
• Monte Richard Tredway, D.M.D.
• Tree of Life Counseling, LLC

• Health Educator in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.