Active NPI
Takenya S Lampkins
- Exercise & Sports Psychologist
- Jacksonville, FL
National Provider Identifier
1205507241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exercise & Sports Psychologist
- Practice address
- 8106 Old Kings Rd S Ste 4
Jacksonville, FL 32217-5526 - Phone
- (904) 586-2118
- NPI assigned
- Sep 21, 2021
- Last updated
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Exercise & Sports Psychologist | 103TE1100X | Primary |
Addresses
Primary practice location
8106 Old Kings Rd S Ste 4
Jacksonville, FL 32217-5526
Mailing address
8106 Old Kings Rd S Ste 4
Jacksonville, FL 32217-5526
Phone (904) 586-2118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Friends Fitness LLC | Exercise & Sports | Current | Accepting new patients |
Locations
8106 Old Kings Rd S
Ste 4
Jacksonville, FL 32217
Phone (904) 586-2118
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1205507241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8106 OLD KINGS RD S STE 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322175526",
"telephone_number": "904-586-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8106 OLD KINGS RD S STE 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322175526",
"telephone_number": "904-586-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPKINS",
"first_name": "TAKENYA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"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 Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.