Organization Active NPI

Barnabas Health Services, Inc.

  • Adult Medicine Physician
  • Fernandina Beach, FL
National Provider Identifier
1386040467
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
BARNABAS HEALTH SERVICES, INC.
Practice address
1303 Jasmine St
Suite 101
Fernandina Beach, FL 32034-2992
Phone
(904) 261-7000
Fax
(904) 261-8899
NPI assigned
Nov 17, 2014
Last updated
Mar 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Ms. Wanda Lanier
Title
Executive Director
Phone
(904) 261-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

1303 Jasmine St
Suite 101
Fernandina Beach, FL 32034-2992

Mailing address

1303 Jasmine St
Suite 101
Fernandina Beach, FL 32034-2992
Phone (904) 261-7000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2168764Barnabas Health Services Inc1303 Jasmine St Ste 101, Fernandina Beach, FL 32034Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Locations

1303 Jasmine St
Ste 101
Fernandina Beach, FL 32034
Phone (904) 261-7000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1386040467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 JASMINE ST",
            "address_2": "SUITE 101",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342992",
            "telephone_number": "904-261-7000",
            "fax_number": "904-261-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 JASMINE ST",
            "address_2": "SUITE 101",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342992",
            "telephone_number": "904-261-7000",
            "fax_number": "904-261-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNABAS HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-261-7000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.