Organization Active NPI

Nimble Health, LLC

  • Health Educator
  • Tampa, FL
National Provider Identifier
1114631462
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
NIMBLE HEALTH, LLC
Practice address
4502 Woodland Corporate Blvd
Tampa, FL 33614-2443
Phone
(888) 895-5808
NPI assigned
Jan 11, 2023
Organization subpart
Yes
Parent organization
U.S. IMAGING NETWORK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Thomas Modzelewski
Title
Ceo
Phone
(888) 895-5808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

4502 Woodland Corporate Blvd
Tampa, FL 33614-2443

Mailing address

733 3Rd Ave FL 11
New York, NY 10017-3204
Phone (888) 895-5808

National Provider Directory

National Provider Directory
Part of
US Imaging Network LLC

Locations

4502 Woodland Corporate Blvd
Tampa, FL 33614
Phone (888) 895-5808

733 3rd Ave
Fl 11
New York, NY 10017
Phone (212) 214-0892

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1114631462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 3RD AVE FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173204",
            "telephone_number": "888-895-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 WOODLAND CORPORATE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142443",
            "telephone_number": "888-895-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMBLE HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. IMAGING NETWORK, LLC",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "MODZELEWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-895-5808"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.