New Eden Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NEW EDEN HEALTH

Practice address

3011 Marshfield Preserve Way
Kissimmee, FL 34746-2105

Phone

(305) 519-7951

NPI assigned

Apr 16, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gardine Jacques

Title

Owner

Phone

(305) 519-7951

Specialties & licenses 1

Addresses

Other names 1

• n/a Former legal business name

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1811741796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7385 NW 68TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673918",
            "telephone_number": "305-519-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 MARSHFIELD PRESERVE WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462105",
            "telephone_number": "305-519-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7385 NW 68th Way",
            "address_purpose": "LOCATION",
            "city": "Parkland",
            "state": "FL",
            "postal_code": "330673918",
            "country_code": "US",
            "telephone_number": "305-519-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW EDEN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "GARDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-519-7951"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Neurological Institute, PA
• Neurology Consultants of Central Florida Inc
• Neuropathic Pain Management LLC
• Chelymar Nevarez Torres
• Bruno Americo Neves
• New Eden Wellness Center LLC (New Eden Wellness LLC)
• New Haven Health Care LLC
• New Light Behavioral Solutions
• Tyler Zane New
• Stephanie Newberry-Angell, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.