Primarily You LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PRIMARILY YOU LLC

Practice address

239 August Fern Loop
Mount Dora, FL 32757-2806

Phone

(352) 316-7205

Fax

(870) 408-4059

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Jessica BrooksNPI 1659066900

Title

Co-Owner

Phone

(501) 504-3307

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Brooks

  • Behavior Technician
  • Mount Dora, FL
  • NPI 1659066900
  NPD Authorized official
• Victoria Jacoby, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tavares, FL
  • NPI 1124417142

  Family

  NPD

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1194476101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18848 US HIGHWAY 441 # 423",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576700",
            "fax_number": "870-408-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AUGUST FERN LOOP",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572806",
            "telephone_number": "352-316-7205",
            "fax_number": "870-408-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARILY YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "501-504-3307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Hegamyer Powell, LMHC
• Precision Eye Care Center LLC
• Premise Health of Florida Medical PA
• Preventive Behaviors & Solutions Inc.
• Leandrea Pride
• Prime Radiology of Mount Dora, Inc
• Arial Prince
• Amy Lynn Protheroe, OTR
• PT & Spinal Rehab
• Publix Super Markets Inc

• Health Service Clinic/Center in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Health Service Clinic/Center in Florida

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