Active NPI
Jasper Health Services Florida LLC
- Clinical Social Worker
- Altamonte Springs, FL
National Provider Identifier
1114788288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JASPER HEALTH SERVICES FLORIDA LLC
- Practice address
- 235 N Westmonte Dr
1St and 2ND Floor
Altamonte Springs, FL 32714-3345 - Phone
- (929) 552-3904
- Fax
- (877) 254-0980
- NPI assigned
- Jan 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Orr
- Title
- Coo
- Phone
- (702) 419-5668
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
235 N Westmonte Dr
1St and 2ND Floor
Altamonte Springs, FL 32714-3345
Mailing address
235 N Westmonte Dr
1St and 2ND Floor
Altamonte Springs, FL 32714-3345
Phone (929) 552-3904
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://healthcare.googleapis.com/v1/projects/jasper-health/locations/us/datasets/Jasper-Health/fhirStores/Direct2Consumer/fhi | Direct | Jasper Health, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
4210 Valley Ridge Blvd
Ste 135
Ponte Vedra, FL 32081
Phone (929) 552-3904
7288 Hanover Green Dr
Ste A
Mechanicsville, VA 23111
Phone (201) 676-2579
Practitioners & affiliated clinicians
Practitioners 2
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": "1705449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1114788288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 N WESTMONTE DR",
"address_2": "1ST AND 2ND FLOOR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143345",
"telephone_number": "929-552-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 N WESTMONTE DR",
"address_2": "1ST AND 2ND FLOOR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143345",
"telephone_number": "929-552-3904",
"fax_number": "877-254-0980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASPER HEALTH SERVICES FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-17",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "ORR",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "702-419-5668"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://healthcare.googleapis.com/v1/projects/jasper-health/locations/us/datasets/Jasper-Health/fhirStores/Direct2Consumer/fhi",
"affiliation": "Y",
"endpointDescription": "R4 FHIR API",
"affiliationName": "Jasper Health, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "JSON (FHIR)",
"address_1": "950 W Bannock St Ste 1100",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837026140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.