Active NPI
Nywes Healthcare
- Health Service Clinic/Center
- Orange Park, FL
National Provider Identifier
1578201703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikki Walker, CCMA, CPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.