Organization Active NPI

North Florida Lung Associates PLLC

  • Pulmonary Disease Physician
  • Jacksonville, FL
National Provider Identifier
1508163262
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME106024 Issued in FL
Legal business name
NORTH FLORIDA LUNG ASSOCIATES PLLC
Practice address
13241 Bartram Park Blvd
Jacksonville, FL 32258-5212
Phone
(904) 290-1270
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Rachel Moodey, MD
Title
Physician
Phone
(904) 290-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME106024 FL Primary

Addresses

Primary practice location

13241 Bartram Park Blvd
Jacksonville, FL 32258-5212

Mailing address

8200 Highgate Dr
Jacksonville, FL 32216-1477
Phone (904) 412-3599

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1508163262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HIGHGATE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161477",
            "telephone_number": "904-412-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585212",
            "telephone_number": "904-290-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA LUNG ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "MOODEY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-290-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME106024",
            "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 Aug 18, 2011; 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.