NPIMap

Organization Active NPI

Stamper Haven

  • Homemaker
  • Jacksonville, FL
National Provider Identifier
1285294462
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
STAMPER HAVEN
Practice address
11508 Johnson Creek Cir
Jacksonville, FL 32218-9322
Phone
(904) 343-7626
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Sharetta StamperNPI 1619533973
Title
Owner
Phone
(904) 343-7626

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

11508 Johnson Creek Cir
Jacksonville, FL 32218-9322

Mailing address

11508 Johnson Creek Cir
Jacksonville, FL 32218-9322

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1285294462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11508 JOHNSON CREEK CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11508 JOHNSON CREEK CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189322",
            "telephone_number": "904-343-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMPER HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "STAMPER",
        "authorized_official_first_name": "SHARETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-343-7626"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "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 Jun 19, 2019; 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.