Active NPI
Tahnita Fleming
- Attendant Care Provider
- Jacksonville, FL
National Provider Identifier
1407302656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 2304 Burpee Dr W
Jacksonville, FL 32210-3739 - Phone
- (904) 414-1211
- Fax
- (866) 952-0945
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | FL | ||
| Private Vehicle | 347C00000X | FL | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | FL | ||
| In Home Supportive Care Agency | 253Z00000X | FL | ||
| Non-emergency Medical Transport (VAN) | 343900000X | FL | ||
| Homemaker | 376J00000X | FL | ||
| Chore Provider | 372500000X | FL | ||
| Adult Companion | 372600000X | FL | ||
| Personal Care Attendant | 3747P1801X | FL | ||
| Home Health Aide | 374U00000X | FL | ||
| Attendant Care Provider | 3747A0650X | FL | Primary |
Addresses
Primary practice location
2304 Burpee Dr W
Jacksonville, FL 32210-3739
Mailing address
2304 Burpee Dr W
Jacksonville, FL 32210-3739
Phone (904) 450-2414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024592000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleming Support Services, LLC | Day Training, Developmentally Disabled Services | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Attendant Care Provider
- Jacksonville, FL
- NPI 1912643719
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1407302656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 BURPEE DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322103739",
"telephone_number": "904-450-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 BURPEE DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322103739",
"telephone_number": "904-414-1211",
"fax_number": "866-952-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "TAHNITA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024592000",
"state": "FL"
}
],
"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 Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.