Active NPI
Barnabas Health Services, Inc.
- Adult Medicine Physician
- Fernandina Beach, FL
National Provider Identifier
1386040467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2168764 | Barnabas Health Services Inc | Certificate of waiver | Jul 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Jacksonville, FL
- NPI 1902824139
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.