NPIMap

Organization Active NPI

Baptist Health of Northeast Florida

  • General Acute Care Hospital
  • Jacksonville, FL
National Provider Identifier
1336406578
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
MH 10702 Issued in FL
Legal business name
BAPTIST HEALTH OF NORTHEAST FLORIDA
Practice address
800 Prudential Dr
Howard Building, Suite 510
Jacksonville, FL 32207-8202
Phone
(904) 202-4532
Fax
(904) 202-2436
NPI assigned
Apr 12, 2012
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Ms. Emily A Collins, LMHC
Title
Mental Health Therapist
Phone
(904) 202-4532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MH 10702 FL Primary

Addresses

Primary practice location

800 Prudential Dr
Howard Building, Suite 510
Jacksonville, FL 32207-8202

Mailing address

800 Prudential Drive
Howard Building, Suite 510
Jacksonville, FL 32207

National Provider Directory

National Provider Directory
Tax ID family
Larry Birch18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

800 Prudential Dr
Ste 510
Jacksonville, FL 32207
Phone (904) 202-4532

Interoperability endpoints

  • FHIR API: https://epicproxy.et1206.epichosted.com/FHIRProxy/BHJ/api/FHIR/R4

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1336406578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DRIVE",
            "address_2": "HOWARD BUILDING, SUITE 510",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "address_2": "HOWARD BUILDING, SUITE 510",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-202-4532",
            "fax_number": "904-202-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH OF NORTHEAST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "904-202-4532",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "MH 10702",
            "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 Apr 12, 2012; 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.