Organization Active NPI

Advocacy Behavioral Health, Inc.

  • Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1184801920
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1466102 Issued in FL
Legal business name
ADVOCACY BEHAVIORAL HEALTH, INC.
Practice address
12 South Blvd E
Davenport, FL 33837-0535
Phone
(863) 421-9545
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Mary Johnson, ARNP
Title
President
Phone
(863) 421-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1466102 FL Primary

Addresses

Primary practice location

12 South Blvd E
Davenport, FL 33837-0535

Mailing address

PO Box 841
Davenport, FL 33836-0841
Phone (863) 421-9545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1184801920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360841",
            "telephone_number": "863-421-9545",
            "fax_number": "718-425-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SOUTH BLVD E",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338370535",
            "telephone_number": "863-421-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCACY BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-421-9545",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1466102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.