NPIMap

Organization Active NPI

Simply E Connect

Doing business as MedEeze

  • Family Nurse Practitioner
  • Crawfordville, FL
National Provider Identifier
1518674878
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SIMPLY E CONNECT
Doing business as
MedEeze
Practice address
4679 Crawfordville Hwy
Crawfordville, FL 32327-4539
Phone
(850) 926-7181
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Eric Friall
Title
Executive Director
Phone
(800) 814-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4679 Crawfordville Hwy
Crawfordville, FL 32327-4539

Mailing address

2236 Capital Cir NE Ste 205
Tallahassee, FL 32308-8304
Phone (800) 814-2361

Other names 1

  • MedEeze Doing business as

National Provider Directory

National Provider Directory

Locations

2236 Capital Cir NE
Ste 205
Tallahassee, FL 32308

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1518674878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 CAPITAL CIR NE STE 205",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088304",
            "telephone_number": "800-814-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4679 CRAWFORDVILLE HWY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323274539",
            "telephone_number": "850-926-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY E CONNECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "FRIALL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-814-2361"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedEeze",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crawfordville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.