Preventative Healthcare Management

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PREVENTATIVE HEALTHCARE MANAGEMENT

Practice address

7342 NW 48TH St
Lauderhill, FL 33319-3401

Phone

(954) 471-3500

NPI assigned

Mar 7, 2019

Last updated

Mar 7, 2019By 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

Theona A Jackson, APRNNPI 1699242446

Title

President

Phone

(954) 471-3500

Specialties & licenses 1

Addresses

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.

• Theona Alexee Jackson

  • Family Nurse Practitioner
  • Lauderhill, FL
  • NPI 1699242446
  Authorized official Same address or phone

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1124586243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 NW 48TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333193401",
            "telephone_number": "954-471-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 NW 48TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333193401",
            "telephone_number": "954-471-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTATIVE HEALTHCARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "THEONA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-471-3500",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudette Porter, MSN, RN
• Lazara Portuondo
• Potter's House at Cannon Point, Inc
• Premier Care Group
• Premier Medical Center of Inverrary, Inc.
• Pri-Med Walk in Clinic
• Prime Home Care LLC
• Primed Urgent Care
• Arlande Rita Prince, ARNP
• Priority Health 770 Inc

• Adult Medicine Physician in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.