Organization Active NPI

Allied Health

  • Case Manager/Care Coordinator
  • Jacksonville, FL
National Provider Identifier
1114386778
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ALLIED HEALTH
Practice address
7235 Bonneval Rd
Jacksonville, FL 32256-7565
Phone
(904) 309-2422
NPI assigned
Feb 11, 2016
Last updated
Feb 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Devonta J Jackson
Title
Owner
Phone
(832) 490-8067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

7235 Bonneval Rd
Jacksonville, FL 32256-7565

Mailing address

19925 Sutton Falls Dr
Cypress, TX 77433-1026
Phone (832) 490-8067

National Provider Directory

National Provider Directory

Locations

7235 Bonneval Rd
Jacksonville, FL 32256
Phone (904) 404-7885

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1114386778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19925 SUTTON FALLS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331026",
            "telephone_number": "832-490-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 BONNEVAL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567565",
            "telephone_number": "904-309-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DEVONTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-490-8067"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Feb 16, 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.