Camen Academy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAMEN ACADEMY LLC

Practice address

910 S 8TH St Ste 120
Fernandina Beach, FL 32034-6700

Phone

(407) 413-6789

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

David Aaron LottmanNPI 1033674957

Title

Cfo

Phone

(407) 413-6789

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• David Aaron Lottman

  • Behavior Technician
  • Fernandina Beach, FL
  • NPI 1033674957
  NPD (past) Authorized official

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1467918599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 FALCONHILL DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S 8TH ST STE 120",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320346700",
            "telephone_number": "407-413-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEN ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "LOTTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-413-6789"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Burke, APRN
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• Community/Behavioral Health Agency in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.