Organization Active NPI

Access Care Medical Group, LLC

  • Clinic/Center
  • Pensacola, FL
National Provider Identifier
1215324736
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ARNP579162 Issued in FL
Legal business name
ACCESS CARE MEDICAL GROUP, LLC
Practice address
2123 Juno Cir
Pensacola, FL 32526
Phone
(850) 377-0288
NPI assigned
Apr 22, 2015
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Frances Grace Keller
Title
Nurse Practitioner
Phone
(850) 377-0288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ARNP579162 FL Primary

Addresses

Primary practice location

2123 Juno Cir
Pensacola, FL 32526

Mailing address

2123 Juno Cir
Pensacola, FL 32526
Phone (850) 377-0288

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1215324736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 JUNO CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32526",
            "telephone_number": "850-377-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 JUNO CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32526",
            "telephone_number": "850-377-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS CARE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "850-377-0288"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ARNP579162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.