Organization Active NPI

Read Reflect & Repair Health and Wellness

  • Primary Care Clinic/Center
  • Orange Park, FL
National Provider Identifier
1609528488
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
READ REFLECT & REPAIR HEALTH AND WELLNESS
Practice address
669 Kingsley Ave
Orange Park, FL 32073-5467
Phone
(904) 801-7899
NPI assigned
Jan 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Jasmine Seara Hardaway, RNNPI 1942952841
Title
Ceo
Phone
(904) 482-8301

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

669 Kingsley Ave
Orange Park, FL 32073-5467

Mailing address

4492 Steamboat Springs Dr E
Jacksonville, FL 32210-1406
Phone (904) 482-8301

National Provider Directory

National Provider Directory

Locations

669 Kingsley Ave
Orange Park, FL 32073
Phone (904) 482-8301

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": "1642809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1609528488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4492 STEAMBOAT SPRINGS DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101406",
            "telephone_number": "904-482-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735467",
            "telephone_number": "904-801-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READ REFLECT & REPAIR HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "SEARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-482-8301",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 25, 2022; 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.