Active NPI
Starting Pointe Recovery Inc.
- Addiction Medicine (Preventive Medicine) Physician
- Bradenton, FL
National Provider Identifier
1306609854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- STARTING POINTE RECOVERY INC.
- Practice address
- 201 4TH Ave E Ste 2
Bradenton, FL 34208-1043 - Phone
- (941) 226-0018
- Fax
- (941) 260-4872
- NPI assigned
- Feb 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tina Marie Jackson, RN
- Title
- President/Ceo
- Phone
- (517) 410-6164
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
201 4TH Ave E Ste 2
Bradenton, FL 34208-1043
Mailing address
201 4TH Ave E Ste 2
Bradenton, FL 34208-1043
Phone (941) 226-0018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122264900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
201 4th Ave E
Ste 2
Bradenton, FL 34208
Phone (941) 226-0018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1306609854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 4TH AVE E STE 2",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081043",
"telephone_number": "941-226-0018",
"fax_number": "941-260-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 4TH AVE E STE 2",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081043",
"telephone_number": "941-226-0018",
"fax_number": "941-260-4872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARTING POINTE RECOVERY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "517-410-6164",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122264900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.