Organization Active NPI

Checkmate Inc

  • Customized Equipment (DME)
  • Jacksonville, FL
National Provider Identifier
1801199237
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
616231 Issued in FL
Legal business name
CHECKMATE INC
Practice address
2753 Stardust CT
CT#9
Jacksonville, FL 32211-2808
Phone
(786) 344-5284
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Mr. James Leon Watson Sr.
Title
President
Phone
(786) 344-5284

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 616231 FL
Health Service Clinic/Center 261QH0100X 616231 FL
Urgent Care Clinic/Center 261QU0200X 616231 FL
Preferred Provider Organization 305R00000X 616231 FL
Customized Equipment (DME) 332BC3200X 616231 FL Primary

Addresses

Primary practice location

2753 Stardust CT
CT#9
Jacksonville, FL 32211-2808

Mailing address

2753 Stardust CT
CT #9
Jacksonville, FL 32211-2808
Phone (786) 344-5284

Other identifiers 1

IdentifierTypeStateIssuer
616231OtherFLLPN NURSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1801199237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 STARDUST CT",
            "address_2": "CT #9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322112808",
            "telephone_number": "786-344-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 STARDUST CT",
            "address_2": "CT#9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322112808",
            "telephone_number": "786-344-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHECKMATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-344-5284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "616231",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "616231",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "616231",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "616231",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "616231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN NURSE",
            "identifier": "616231",
            "state": "FL"
        }
    ],
    "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 Dec 7, 2010; 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.