Organization Active NPI

Ehealth Provisions, LLC

  • Adult Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1821797622
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
EHEALTH PROVISIONS, LLC
Practice address
1435 S Osprey Ave Ste 200
Sarasota, FL 34239-2905
Phone
(941) 404-5453
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Kim Lilly Thomson, APRNNPI 1952836298
Title
Authorized Rep /Nurse Practitioner
Phone
(941) 298-0045

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1435 S Osprey Ave Ste 200
Sarasota, FL 34239-2905

Mailing address

1435 S Osprey Ave Ste 200
Sarasota, FL 34239-2905
Phone (941) 298-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230605002069 FL Part B Supplier - Clinic/Group Practice 8527425693 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

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": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1821797622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S OSPREY AVE STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392905",
            "telephone_number": "941-298-0045",
            "fax_number": "941-279-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S OSPREY AVE STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392905",
            "telephone_number": "941-404-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHEALTH PROVISIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LILLY",
        "authorized_official_title_or_position": "AUTHORIZED REP /NURSE PRACTITIONER",
        "authorized_official_telephone_number": "941-298-0045",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.