Organization Active NPI

Clare Huston Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1114481959
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CLARE HUSTON INC
Practice address
12058 San Jose Blvd Ste 802
Jacksonville, FL 32223-8667
Phone
(904) 910-9060
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Clare Benjamin, ARNPNPI 1003097213
Title
Owner
Phone
(904) 910-9060

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12058 San Jose Blvd Ste 802
Jacksonville, FL 32223-8667

Mailing address

12058 San Jose Blvd Ste 802
Jacksonville, FL 32223-8667
Phone (904) 910-9060

National Provider Directory

National Provider Directory

Locations

11250 Old St Augustine Rd
Ste 15363
Jacksonville, FL 32257

12058 San Jose Blvd
Ste 802
Jacksonville, FL 32223
Phone (904) 910-9060

11250 Old Saint Augustine Rd
Ste 15363
Jacksonville, FL 32257
Phone (904) 910-9060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1114481959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 802",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238667",
            "telephone_number": "904-910-9060",
            "fax_number": "904-372-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 802",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238667",
            "telephone_number": "904-910-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARE HUSTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "CLARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-910-9060",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 22, 2021; 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.