Organization Active NPI

Jthealth, LLC

  • Exclusive Provider Organization
  • Jacksonville, FL
National Provider Identifier
1144761933
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
JTHEALTH, LLC
Practice address
11764 Marco Beach Dr Ste 9a
Jacksonville, FL 32224-7684
Phone
(904) 685-4850
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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

Authorized official

Name
Joshua Heekin
Title
President
Phone
(904) 685-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

11764 Marco Beach Dr Ste 9a
Jacksonville, FL 32224-7684

Mailing address

11764 Marco Beach Dr Ste 9a
Jacksonville, FL 32224-7684
Phone (904) 685-4850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1144761933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11764 MARCO BEACH DR STE 9A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247684",
            "telephone_number": "904-685-4850",
            "fax_number": "904-685-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11764 MARCO BEACH DR STE 9A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247684",
            "telephone_number": "904-685-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "HEEKIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-685-4850"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "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 Feb 1, 2020; 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.