NPIMap

Organization Active NPI

Florida State University

  • Student Health Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1699809236
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
FLORIDA STATE UNIVERSITY
Practice address
960 Learning Way
Tallahassee, FL 32306-4178
Phone
(850) 644-1802
Fax
(850) 644-4251
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Mr. Scott Otte
Title
Cfo
Phone
(850) 645-6992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

960 Learning Way
Tallahassee, FL 32306-4178

Mailing address

960 Learning Way
Tallahassee, FL 32306-4178
Phone (850) 644-1802

Other names 1

  • FSU University Health Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0961727Florida State University Health Services960 Learning Way, Tallahassee, FL 32306Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Thagard Student Health Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1630 Riggins Rd
#0
Tallahassee, FL 32308

960 Learing Way
Tallahassee, FL 32306

1115 W Call St
Tallahassee, FL 32304
Phone (850) 644-1543

1114 W Call St
Ste 2207
Tallahassee, FL 32304

2139 Maryland Cir
Ste 1200
Tallahassee, FL 32303
Phone (850) 644-2222

214 Stone
Tallahassee, FL 32306

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1699809236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 LEARNING WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323064178",
            "telephone_number": "850-644-1802",
            "fax_number": "850-644-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LEARNING WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323064178",
            "telephone_number": "850-644-1802",
            "fax_number": "850-644-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "OTTE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-645-6992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSU University Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.