NPIMap

Organization Active NPI

Easterseals Northeast Central Florida

  • Voluntary or Charitable Agency
  • Daytona Beach, FL
National Provider Identifier
1336203702
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
OT424 Issued in FL
Legal business name
EASTERSEALS NORTHEAST CENTRAL FLORIDA
Practice address
1219 Dunn Ave
Daytona Beach, FL 32114
Phone
(386) 255-4568
NPI assigned
Dec 20, 2006
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Beverly Johnson
Title
Director
Phone
(386) 255-4568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X OT 424 FL
Voluntary or Charitable Agency 251V00000X OT424 FL Primary

Addresses

Primary practice location

1219 Dunn Ave
Daytona Beach, FL 32114

Mailing address

1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone (386) 255-4568

Other practice location 1

3804 Pioneer Trl
New Smyrna Beach, FL 32168-8784
Phone (386) 255-4568

National Provider Directory

National Provider Directory
Tax ID family
Easterseals Northeast Central Florida Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1336203702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142405",
            "telephone_number": "386-255-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-255-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3804 Pioneer Trl",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321688784",
            "country_code": "US",
            "telephone_number": "386-255-4568",
            "fax_number": "386-258-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTERSEALS NORTHEAST CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-255-4568"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "OT 424",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "OT424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.