NPIMap

Organization Active NPI

Carespot of Orlando Hsi Urgent Care LLC

Doing business as CareSpot-Avalon Park

  • Urgent Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1255009569
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CARESPOT OF ORLANDO HSI URGENT CARE LLC
Doing business as
CareSpot-Avalon Park
Practice address
311 S Avalon Park Blvd
Orlando, FL 32828-6781
Phone
(407) 295-7557
NPI assigned
Sep 1, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Sierra Manning
Title
Credentialing Coordinator
Phone
(904) 900-5436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

311 S Avalon Park Blvd
Orlando, FL 32828-6781

Mailing address

115 Eastpark Dr Ste 300
Brentwood, TN 37027-2311
Phone (615) 600-4100

Other names 1

  • CareSpot-Avalon Park Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2208371Carespot - Avalon Park311 Avalon Park, Orlando, FL 32828Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Carespot of Orlando Hsi Urgent Care LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

311 S Avalon Park Blvd
Orlando, FL 32828
Phone (407) 295-7557

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1255009569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EASTPARK DR STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272311",
            "telephone_number": "615-600-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S AVALON PARK BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286781",
            "telephone_number": "407-295-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESPOT OF ORLANDO HSI URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "904-900-5436"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSpot-Avalon Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareSpot-Avalon Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.