RN Disability & Consulting Services, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

RN DISABILITY & CONSULTING SERVICES, LLC

Practice address

4411 Sunbeam Rd # 56721
Jacksonville, FL 32257-7525

Phone

(904) 990-4774

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Ta'Shara T Whitehead, RNNPI 1467152801

Title

Manager

Phone

(904) 990-4774

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.

• Ta'Shara T Whitehead, RN

  • Registered Nurse
  • Jacksonville, FL
  • NPI 1467152801
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1558061994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56721",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322416721",
            "telephone_number": "904-990-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SUNBEAM RD # 56721",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322577525",
            "telephone_number": "904-990-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RN DISABILITY & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "TA'SHARA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-990-4774",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Jacksonville, FL
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• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.