Juvenate LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JUVENATE LLC

Practice address

609 E 6TH CT
Panama City, FL 32401-3605

Phone

(850) 348-0293

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Sandi Gay

Title

Credentialing Manager

Phone

(850) 248-2468

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1295487353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E 6TH CT",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013605",
            "telephone_number": "850-348-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E 6TH CT",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013605",
            "telephone_number": "850-348-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUVENATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "850-248-2468"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Junearick
• Jonathan Courtney Jung, DC
• Jean M Just, PT
• Janet Justice, LCSW
• Justin R Smith DMD PA
• Patria Juzang
• Gwen R Kady, PT
• Kamal H Zawahry MD PA
• Sherief M Kamel, M.D.
• Pranay R Kanake, MD

• Family Nurse Practitioner in Panama City, FL
• Providers in Panama City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.