NPIMap

Organization Active NPI

Polk County Board of County Commissioners

  • Occupational Health Nurse Practitioner
  • Bartow, FL
National Provider Identifier
1558468991
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
RN3222322 Issued in FL
Legal business name
POLK COUNTY BOARD OF COUNTY COMMISSIONERS
Practice address
2010 E Georgia St
Bartow, FL 33830-6709
Phone
(863) 534-5280
Fax
(863) 534-5278
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane Mulloney
Title
Health Manager
Phone
(863) 534-5266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LX0106X RN3222322 FL Primary

Addresses

Primary practice location

2010 E Georgia St
Bartow, FL 33830-6709

Mailing address

2010 E Georgia St
Bartow, FL 33830-6709
Phone (863) 534-5280

Other names 1

  • Employee Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Polk County Board of County10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2010 E Georgia St
Bartow, FL 33830
Phone (813) 533-1111

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558468991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E GEORGIA ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306709",
            "telephone_number": "863-534-5280",
            "fax_number": "863-534-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E GEORGIA ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306709",
            "telephone_number": "863-534-5280",
            "fax_number": "863-534-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLONEY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "HEALTH MANAGER",
        "authorized_official_telephone_number": "863-534-5266"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "FL",
            "license": "RN3222322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Employee Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.