Organization Active NPI

Myhealth Medical Association

  • Family Health Clinical Nurse Specialist
  • Starke, FL
National Provider Identifier
1568849313
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
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

Updated by the provider on Apr 30, 2015

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)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.