Organization Active NPI

Elite Mind and Body Solutions

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1760147839
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ELITE MIND AND BODY SOLUTIONS
Practice address
11396 Nettlebrook St E
Jacksonville, FL 32218-1005
Phone
(904) 400-2206
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Dr. Paula Yvette Parsons, DNP,MSHL,MSN,APRNNPI 1225522691
Title
Family and Psych Nurse Practitioner
Phone
(904) 400-2206

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

11396 Nettlebrook St E
Jacksonville, FL 32218-1005

Mailing address

7643 Gate Pkwy Unit 104-311
Jacksonville, FL 32256-2893
Phone (904) 400-2206

National Provider Directory

National Provider Directory

Locations

7643 Gate Pkwy
Unit 104311
Jacksonville, FL 32256
Phone (904) 400-2206

Practitioners & affiliated clinicians

Practitioners 1

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": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1760147839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY UNIT 104-311",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562893",
            "telephone_number": "904-400-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11396 NETTLEBROOK ST E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322181005",
            "telephone_number": "904-400-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MIND AND BODY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "FAMILY AND PSYCH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "904-400-2206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,MSHL,MSN,APRN"
    },
    "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 Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.