Organization Active NPI

Nywes Healthcare

  • Health Service Clinic/Center
  • Orange Park, FL
National Provider Identifier
1578201703
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NYWES HEALTHCARE
Practice address
1730 Kingsley Ave Ste F
Orange Park, FL 32073-4417
Phone
(334) 233-1485
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Nikki Walker, CCMA, CPTNPI 1831841469
Title
Provider
Phone
(334) 233-1485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1730 Kingsley Ave Ste F
Orange Park, FL 32073-4417

Mailing address

3924 Leatherwood Dr
Orange Park, FL 32065-5527
Phone (334) 233-1485

Other names 1

  • NYWES PHLEBOTOMY & HEALTH SERVICE, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1730 Kingsley Ave
Ste F
Orange Park, FL 32073
Phone (334) 233-1485

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1578201703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 LEATHERWOOD DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655527",
            "telephone_number": "334-233-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 KINGSLEY AVE STE F",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734417",
            "telephone_number": "334-233-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYWES HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "334-233-1485",
        "authorized_official_credential": "CCMA, CPT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYWES PHLEBOTOMY & HEALTH SERVICE, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.