Active NPI
Adelante Healthcare Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ADELANTE HEALTHCARE SERVICES LLC
- Practice address
- 410 Blanding Blvd Ste 10-240
Orange Park, FL 32073-5051 - Phone
- (410) 212-7649
- NPI assigned
- Mar 22, 2024
- Last updated
- Mar 25, 2024
- 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
- Lewis Monroe
- Title
- Owner
- Phone
- (410) 212-7649
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
410 Blanding Blvd Ste 10-240
Orange Park, FL 32073-5051
Mailing address
410 Blanding Blvd Ste 10-240
Orange Park, FL 32073-5051
National Provider Directory
National Provider DirectoryLocations
410 Blanding Blvd
Ste 10240
Orange Park, FL 32073
Phone (410) 212-7649
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.
-
- Primary Care Nurse Practitioner
- Orange Park, FL
- NPI 1336584812
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1457101644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BLANDING BLVD STE 10-240",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BLANDING BLVD STE 10-240",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735051",
"telephone_number": "410-212-7649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADELANTE HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A",
"authorized_official_last_name": "MONROE",
"authorized_official_first_name": "LEWIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-212-7649"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.