Organization Active NPI

Elevated Health & Company, LLC

  • Family Nurse Practitioner
  • Macclenny, FL
National Provider Identifier
1689403677
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ELEVATED HEALTH & COMPANY, LLC
Practice address
1183 S 6TH St
Macclenny, FL 32063-4620
Phone
(912) 550-6218
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
April Day, ARNP, FNP-CNPI 1326541608
Title
Ceo/Owner
Phone
(912) 550-6218

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1183 S 6TH St
Macclenny, FL 32063-4620

Mailing address

1183 S 6TH St
Macclenny, FL 32063-4620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241009000269 FL Part B Supplier - Clinic/Group Practice 0446781850 Receives reassigned benefits from 1 practitioner
Practice locations: Macclenny, FL

National Provider Directory

National Provider Directory

Locations

1183 S 6th St
Macclenny, FL 32063
Phone (904) 784-9355

Practitioners & affiliated clinicians

Practitioners 3

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": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1689403677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 S 6TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 S 6TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634620",
            "telephone_number": "912-550-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALTH & COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "912-550-6218",
        "authorized_official_credential": "ARNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macclenny, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.