Individual provider Active NPI

Jurenda McLamb

  • Assisted Living Facility (Mental Illness)
  • Pensacola, FL
National Provider Identifier
1346660131
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
3104A0625X Issued in FL
Practice address
104 Dogwood Dr
Pensacola, FL 32505-5320
Phone
(850) 453-7177
NPI assigned
Apr 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 3104A0625X FL Primary

Addresses

Primary practice location

104 Dogwood Dr
Pensacola, FL 32505-5320

Mailing address

104 Dogwood Dr
Pensacola, FL 32505-5320
Phone (850) 221-7709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3104A0625XFLMDAssisted Living Facility (Mental Illness)

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mark Isenberg PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1346660131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DOGWOOD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325055320",
            "telephone_number": "850-221-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DOGWOOD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325055320",
            "telephone_number": "850-453-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAMB",
        "first_name": "JURENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "3104A0625X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.