Active NPI
Tina Sines
- Homemaker
- Jacksonville, FL
National Provider Identifier
1346855939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 1214 Labelle St Apt 159
Jacksonville, FL 32205-6975 - Phone
- (903) 223-3353
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 237103 | FL | |
| Homemaker | 376J00000X | FL | Primary |
Addresses
Primary practice location
1214 Labelle St Apt 159
Jacksonville, FL 32205-6975
Mailing address
PO Box 5061
Jacksonville, FL 32247-5061
Phone (904) 223-3353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108429600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jackstherapycenter@gmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 237103 | FL | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tina Sines | Homemaker | Current | Accepting new patients |
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": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1346855939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5061",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322475061",
"telephone_number": "904-223-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 LABELLE ST APT 159",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322056975",
"telephone_number": "903-223-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINES",
"first_name": "TINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "237103",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108429600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jackstherapycenter@gmail.com",
"affiliation": "N",
"endpointDescription": "laptop and mobile",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1214 LaBelle St Apt 159",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322056975",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 21, 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.