Organization Active NPI

Medical Healing Center, LLC

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1851663215
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
858902 Issued in FL
Legal business name
MEDICAL HEALING CENTER, LLC
Practice address
225 Office Plaza Dr
Tallahassee, FL 32301-2807
Phone
(850) 309-1665
Fax
(850) 309-0150
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Mrs. Angela D Myers, ARNP-CNPI 1205927472
Title
Owner
Phone
(850) 309-1665

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 858902 FL Primary

Addresses

Primary practice location

225 Office Plaza Dr
Tallahassee, FL 32301-2807

Mailing address

225 Office Plaza Dr
Tallahassee, FL 32301-2807
Phone (850) 309-1665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000161 FL Part B Supplier - Clinic/Group Practice 4981863552 Receives reassigned benefits from 4 practitioners
Practice locations: Tallahassee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2104689Medical Healing Center, the225 Office Plaza Dr, Tallahassee, FL 32301Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

225 Office Plaza Dr
Tallahassee, FL 32301
Phone (850) 309-1665

Practitioners & affiliated clinicians

Practitioners 4

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": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1851663215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OFFICE PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012807",
            "telephone_number": "850-309-1665",
            "fax_number": "850-309-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OFFICE PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012807",
            "telephone_number": "850-309-1665",
            "fax_number": "850-309-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-309-1665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "858902",
            "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 Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.