NPIMap

Organization Active NPI

Sacred Heart Health System, Inc.

Doing business as Ascension Medical Group Sacred Heart

  • Family Nurse Practitioner
  • Navarre, FL
National Provider Identifier
1629518998
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SACRED HEART HEALTH SYSTEM, INC.
Doing business as
Ascension Medical Group Sacred Heart
Practice address
8220 Navarre Pkwy
Navarre, FL 32566-6943
Phone
(850) 416-7272
Fax
(850) 416-7274
NPI assigned
Mar 6, 2017
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Miranda Hemm
Title
Enrollment Manager
Phone
(904) 450-6004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

8220 Navarre Pkwy
Navarre, FL 32566-6943

Mailing address

PO Box 2699
Attn: Hpe
Pensacola, FL 32513-2699
Phone (850) 416-7272

Other identifiers 1

IdentifierTypeStateIssuer
77885OtherFLBCBS FL

Other names 2

  • Ascension Medical Group Sacred Heart Doing business as
  • SHMG Walgreens Navarre Other name

National Provider Directory

National Provider Directory
Tax ID family
Sacred Heart Emerg Phys99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1629518998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "address_2": "ATTN: HPE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-416-7272",
            "fax_number": "850-416-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666943",
            "telephone_number": "850-416-7272",
            "fax_number": "850-416-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "HEMM",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "904-450-6004"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "77885",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Medical Group Sacred Heart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHMG Walgreens Navarre",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.