Cornerstone of Jacksonville, Inc.

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

CORNERSTONE OF JACKSONVILLE, INC.

Practice address

9039 Beach Blvd
Jacksonville, FL 32216-4624

Phone

(904) 730-5500

NPI assigned

Mar 11, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Donald Corley

Title

Admin

Phone

(904) 730-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1750039400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9039 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164624",
            "telephone_number": "904-730-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9039 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164624",
            "telephone_number": "904-730-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE OF JACKSONVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "904-730-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL",
            "identifier": "90395366",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcorley@csjax.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "9039 Beach Blvd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322164624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Nicole Cornelius
• Heather Rice Cornell
• Cornerstone Caregiving East LLC
• Cornerstone Family Care
• Cornerstone Family Medicine LLC
• Cornerstone Special Education Alliance
• April Hall Cornett
• Lauryn Elizabeth Cornett, DNP, FNP-BC
• Tara Michelle Cornett, APRN
• Helen Schaar Corning, RRT

• Student Health Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Student Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.