Organization Active NPI

Alachua Integrative Medicine, Inc

  • Family Nurse Practitioner
  • Alachua, FL
National Provider Identifier
1407042807
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1557262 Issued in FL
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.