Organization Active NPI

Altegra Health Connections, LLC

  • Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1548675168
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ALTEGRA HEALTH CONNECTIONS, LLC
Practice address
645 Lakeland East Dr
Suite 101
Flowood, MS 39232-9099
Phone
(305) 779-6070
NPI assigned
Jun 23, 2014
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Michele Haas
Title
Cfo
Phone
(305) 779-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

645 Lakeland East Dr
Suite 101
Flowood, MS 39232-9099

Mailing address

1725 N Commerce Pkwy
Weston, FL 33326-3201
Phone (305) 779-6070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1548675168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 N COMMERCE PKWY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263201",
            "telephone_number": "305-779-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 LAKELAND EAST DR",
            "address_2": "SUITE 101",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329099",
            "telephone_number": "305-779-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTEGRA HEALTH CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-779-6070"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.