NPIMap

Organization Active NPI

Northeast Florida AIDS Network

  • Case Management Agency
  • Jacksonville, FL
National Provider Identifier
1740480540
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NORTHEAST FLORIDA AIDS NETWORK
Practice address
2715 Oak St
Jacksonville, FL 32205-8204
Phone
(904) 356-1612
Fax
(904) 356-7095
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Donna Fuchs
Title
Director
Phone
(904) 356-1612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2715 Oak St
Jacksonville, FL 32205-8204

Mailing address

2715 Oak St
Jacksonville, FL 32205-8204
Phone (904) 356-1612

Other identifiers 1

IdentifierTypeStateIssuer
691345800MedicaidFL

Other names 1

  • NFAN Other name

National Provider Directory

National Provider Directory
Tax ID family
Nfan6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1740480540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 OAK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058204",
            "telephone_number": "904-356-1612",
            "fax_number": "904-356-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 OAK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058204",
            "telephone_number": "904-356-1612",
            "fax_number": "904-356-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FLORIDA AIDS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-356-1612"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691345800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NFAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.