NPIMap

Organization Active NPI

Early Intervention Solutions LLC

  • Multi-Specialty Clinic/Center
  • Land O' Lakes, FL
National Provider Identifier
1205347101
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EARLY INTERVENTION SOLUTIONS LLC
Doing business as
Early Intervention Solutions LLC
Practice address
4022 Land O Lakes Blvd
Land O Lakes, FL 34639-4413
Phone
(813) 335-1173
Fax
(813) 996-9691
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Courtney WhitakerNPI 1508853920
Title
Founder
Phone
(813) 335-1173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Early Intervention Provider Agency 252Y00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4022 Land O Lakes Blvd
Land O Lakes, FL 34639-4413

Mailing address

22214 Shoreside Dr
Land O Lakes, FL 34639-4615
Phone (813) 335-1173

Other names 1

  • Early Intervention Solutions LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4022 Land O Lakes Blvd
Land O Lakes, FL 34639
Phone (302) 383-7388

5424 Land O Lakes Blvd
Land O Lakes, FL 34639
Phone (813) 335-1173

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1205347101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22214 SHORESIDE DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394615",
            "telephone_number": "813-335-1173",
            "fax_number": "813-996-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 LAND O LAKES BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394413",
            "telephone_number": "813-335-1173",
            "fax_number": "813-996-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTERVENTION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "813-335-1173"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Intervention Solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.