Individual provider Active NPI

Jolander Lolitar Seabrooks

  • Case Management Agency
  • Riviera Beach, FL
National Provider Identifier
1417370727
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
464132095 Issued in FL
Practice address
590 Woodbine Way Apt 516
Riviera Beach, FL 33418-6548
Phone
(910) 476-6574
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 464132095 FL Primary

Addresses

Primary practice location

590 Woodbine Way Apt 516
Riviera Beach, FL 33418-6548

Mailing address

590 Woodbine Way Apt 516
Riviera Beach, FL 33418-6548
Phone (910) 476-6574

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

State licenses

LicenseStateTypeSpecialty
464132095FLMDCase Management Agency

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1417370727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 WOODBINE WAY APT 516",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334186548",
            "telephone_number": "910-476-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 WOODBINE WAY APT 516",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334186548",
            "telephone_number": "910-476-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABROOKS",
        "first_name": "JOLANDER",
        "middle_name": "LOLITAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "464132095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.