Active NPI
Emindful, LLC
- Health Educator
- Orlando, FL
National Provider Identifier
1669148607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Legal business name
- EMINDFUL, LLC
- Practice address
- 11315 Corporate Blvd Ste 210
Orlando, FL 32817-8345 - Phone
- (855) 211-1529
- NPI assigned
- Aug 19, 2021
- Organization subpart
- Yes
- Parent organization
- NS412, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fernando A Nin
- Title
- Director of Compliance and Security
- Phone
- (786) 417-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
11315 Corporate Blvd Ste 210
Orlando, FL 32817-8345
Mailing address
11315 Corporate Blvd Ste 210
Orlando, FL 32817-8345
Phone (855) 211-1529
National Provider Directory
National Provider Directory- Part of
- Ns412 LLC
Locations
11315 Corporate Blvd
Ste 210
Orlando, FL 32817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629676800000",
"number": "1669148607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11315 CORPORATE BLVD STE 210",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178345",
"telephone_number": "855-211-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11315 CORPORATE BLVD STE 210",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178345",
"telephone_number": "855-211-1529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMINDFUL, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NS412, LLC",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A",
"authorized_official_last_name": "NIN",
"authorized_official_first_name": "FERNANDO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE AND SECURITY",
"authorized_official_telephone_number": "786-417-8800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.