Active NPI
Myhealth Medical Association
- Family Health Clinical Nurse Specialist
- Starke, FL
National Provider Identifier
1568849313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- Legal business name
- MYHEALTH MEDICAL ASSOCIATION
- Practice address
- 3900 SE 38TH Ave
Starke, FL 32091 - Phone
- (888) 887-6994
- Fax
- (770) 319-1019
- NPI assigned
- Apr 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Loretta Fitzpatrick
- Title
- Owner
- Phone
- (888) 887-6994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | Primary |
Addresses
Primary practice location
3900 SE 38TH Ave
Starke, FL 32091
Mailing address
4232 Defoors Farm TRL
Powder Springs, GA 30127-4067
Phone (888) 887-6994
Other names 1
- MyHealth School Based Medical Centers
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430352000000",
"number": "1568849313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4232 DEFOORS FARM TRL",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301274067",
"telephone_number": "888-887-6994",
"fax_number": "770-319-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 SE 38TH AVE",
"city": "STARKE",
"state": "FL",
"postal_code": "32091",
"telephone_number": "888-887-6994",
"fax_number": "770-319-1019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYHEALTH MEDICAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-30",
"last_updated": "2015-04-30",
"status": "A",
"authorized_official_last_name": "FITZPATRICK",
"authorized_official_first_name": "LORETTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-887-6994",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Family Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyHealth School Based Medical Centers",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Starke, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.