Organization Active NPI

Black Hearts Gallery

  • Public Health or Welfare Agency
  • Altamonte Springs, FL
National Provider Identifier
1457110264
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BLACK HEARTS GALLERY
Practice address
801 W Sr 436
Altamonte Springs, FL 32714-3054
Phone
(954) 593-4675
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Jennifer Ramirez, APRNNPI 1831700319
Title
Nurse Practitioner
Phone
(954) 593-4675

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)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

801 W Sr 436
Altamonte Springs, FL 32714-3054

Mailing address

1177 Woods Landing Dr
Minneola, FL 34715-6067

National Provider Directory

National Provider Directory

Locations

801 W Sr 436
Altamonte Springs, FL 32714
Phone (954) 593-4675

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1457110264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 WOODS LANDING DR",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347156067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W SR 436",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143054",
            "telephone_number": "954-593-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HEARTS GALLERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "954-593-4675",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.