Finca de San Juan, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FINCA DE SAN JUAN, LLC

Doing business as

St. Johns Health & Wellness

Practice address

1370 13TH Ave S Ste 218
Jax BCH, FL 32250-3206

Phone

(904) 853-6154

Fax

(877) 543-5924

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronda Crews, APRNNPI 1326587106

Title

Practice Administrator

Phone

(904) 853-6154

Specialties & licenses 1

Addresses

Other names 1

• St. Johns Health & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronda Crews, ARNP

  • Family Nurse Practitioner
  • Jacksonville Beach, FL
  • NPI 1326587106
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1215718002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 13TH AVE S STE 218",
            "city": "JAX BCH",
            "state": "FL",
            "postal_code": "322503206",
            "telephone_number": "904-853-6154",
            "fax_number": "877-543-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 13TH AVE S STE 218",
            "city": "JAX BCH",
            "state": "FL",
            "postal_code": "322503206",
            "telephone_number": "904-853-6154",
            "fax_number": "877-543-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINCA DE SAN JUAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-853-6154",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Johns Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy E Brumfield, PA
• Food Centered Solutions
• Melanie Michelle Piercy
• Jill Christian Thunberg, LMT

• Internal Medicine Physician in Jax BCH, FL
• Providers in Jax BCH, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.