Best Leaf LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BEST LEAF LLC

Doing business as

Providence Primary Care

Practice address

9765 San Jose Blvd Ste 103
Jacksonville, FL 32257-5467

Phone

(904) 476-0966

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Takaya Linne Jones, MD

Title

Manager/Owner

Phone

(904) 476-0966

Specialties & licenses 1

Addresses

Other names 1

• Providence Primary Care Doing business as

Locations

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1487302857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2585",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322032585",
            "telephone_number": "904-476-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9765 SAN JOSE BLVD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575467",
            "telephone_number": "904-476-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST LEAF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAKAYA",
        "authorized_official_middle_name": "LINNE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "904-476-0966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Andrew Bess, CAA
• Rebecca Bessent-Hall, LPN
• Kimberly Besser, CRNA
• Timothy P. Besser, MD
• Best Choice Group Home LLC
• Best Rest Sleep Centers Inc
• Claretha Best
• Kailen Claire Best
• Kelly Ann Best, M.D.
• Rachelle M Beste, MD

• Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.