St Augustine Specialty Healthcare, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ST AUGUSTINE SPECIALTY HEALTHCARE, INC.

Practice address

308 Graciela Cir
St Augustine, FL 32086-7837

Phone

(210) 508-5621

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Authorized official

Name

Katrinia L Kraemer, FNPNPI 1649467366

Title

President

Phone

(904) 495-1610

Specialties & licenses 1

Addresses

Other names 1

• SASH Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrinia L Kraemer, FNP

  • Family Nurse Practitioner
  • St Augustine, FL
  • NPI 1649467366
  NPD Authorized official

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1568146751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 US HWY 1 S STE 18",
            "address_2": "#250",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-495-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 GRACIELA CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867837",
            "telephone_number": "210-508-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE SPECIALTY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "KRAEMER",
        "authorized_official_first_name": "KATRINIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-495-1610",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SASH Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Augustine Physical Medicine
• St Augustine Physicians Associates Inc
• St Augustine Physicians Associates Inc.
• St Augustine Primary Care P L
• St Augustine Senior Living LLC
• St Augustine Youth Services
• St Johns Biomedical Laboratories Inc
• St Johns Cardiovascular PA
• St Johns Co Council on Aging
• St Johns County Board of County Commissioners

• Health Service Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.