Organization Active NPI

Secure Medical Staffing Inc.

  • Contractor
  • Jacksonville, FL
National Provider Identifier
1356994446
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
SECURE MEDICAL STAFFING INC.
Practice address
25 N Market St Ste 241
Jacksonville, FL 32202-2802
Phone
(904) 803-8358
Fax
(888) 676-4449
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Yolanda GrimesNPI 1508458688
Title
Owner
Phone
(904) 803-8358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

25 N Market St Ste 241
Jacksonville, FL 32202-2802

Mailing address

25 N Market St Ste 241
Jacksonville, FL 32202-2802
Phone (904) 803-8358

National Provider Directory

National Provider Directory

Locations

841 Prudential Dr
Ste 1241
Jacksonville, FL 32207
Phone (904) 697-9966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1356994446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N MARKET ST STE 241",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022802",
            "telephone_number": "904-803-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N MARKET ST STE 241",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022802",
            "telephone_number": "904-803-8358",
            "fax_number": "888-676-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE MEDICAL STAFFING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-803-8358"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "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 Jul 18, 2019; 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.