Organization Active NPI

Her Garden LLC

  • Primary Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1417760331
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HER GARDEN LLC
Practice address
1036 Dunn Ave Ste 4-326
Jacksonville, FL 32218-6349
Phone
(904) 472-7853
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Natasha King
Title
Owner
Phone
(904) 472-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1036 Dunn Ave Ste 4-326
Jacksonville, FL 32218-6349

Mailing address

1036 Dunn Ave Ste 4-326
Jacksonville, FL 32218-6349

National Provider Directory

National Provider Directory

Locations

1036 Dunn Ave
Ste 4326
Jacksonville, FL 32218
Phone (904) 472-7853

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1417760331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 DUNN AVE STE 4-326",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 DUNN AVE STE 4-326",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186349",
            "telephone_number": "904-472-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-472-7853"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 27, 2025; 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.