Active NPI
Alachua Integrative Medicine, Inc
- Family Nurse Practitioner
- Alachua, FL
National Provider Identifier
1407042807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1557262
- Legal business name
- ALACHUA INTEGRATIVE MEDICINE, INC
- Practice address
- 14804 NW 140TH St
Alachua, FL 32615-6276 - Phone
- (386) 418-1234
- Fax
- (386) 418-8203
- NPI assigned
- Sep 19, 2007
- Last updated
- Sep 27, 2007
- 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
- Patricia Conceicao
- Title
- Office Manager
- Phone
- (386) 418-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1557262 | FL | Primary |
Addresses
Primary practice location
14804 NW 140TH St
Alachua, FL 32615-6276
Mailing address
14804 NW 140TH St
Alachua, FL 32615-6276
Phone (386) 418-1234
National Provider Directory
National Provider DirectoryLocations
14616 NW 140th St
Alachua, FL 32615
Phone (352) 283-3102
11985 Southern Blvd
Ste 293
Royal Palm Beach, FL 33411
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.
-
- Family Nurse Practitioner
- Alachua, FL
- NPI 1992736110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190851200000",
"number": "1407042807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14804 NW 140TH ST",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326156276",
"telephone_number": "386-418-1234",
"fax_number": "386-418-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14804 NW 140TH ST",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326156276",
"telephone_number": "386-418-1234",
"fax_number": "386-418-8203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALACHUA INTEGRATIVE MEDICINE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-27",
"status": "A",
"authorized_official_last_name": "CONCEICAO",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "386-418-1234"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "1557262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alachua, FL
- Alachua County Dermatology Inc
- Alachua Dental, PLLC
- Alachua Family Dentistry
- Alachua Family Eye Care, PA (Alachua Family Eye Care)
- Alachua Immediate Care Center
- Alachua Pharmacy Inc (Hitchcock's Pharmacy)
- Allin Dental Care PLLC
- Diane L Amendola, LMT
- Andres R Villar MD (Children's Medical Center)
- Andres R. Villar MD (Children's Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.