NPIMap

Organization Active NPI

Deeper Health, P.a.

  • General Practice Physician
  • Tallahassee, FL
National Provider Identifier
1831535319
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 108361 Issued in FL
Legal business name
DEEPER HEALTH, P.A.
Practice address
4005 Bobbin Brook Cir
Tallahassee, FL 32312-1258
Phone
(850) 296-9254
NPI assigned
May 10, 2013
Last updated
Oct 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Dr. Jessica Yoon, M.D.
Title
President
Phone
(850) 296-9254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME 108361 FL Primary

Addresses

Primary practice location

4005 Bobbin Brook Cir
Tallahassee, FL 32312-1258

Mailing address

4005 Bobbin Brook Cir
Tallahassee, FL 32312-1258
Phone (850) 296-9254

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1831535319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 BOBBIN BROOK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121258",
            "telephone_number": "850-296-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 BOBBIN BROOK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121258",
            "telephone_number": "850-296-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPER HEALTH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-296-9254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 108361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.