Organization Active NPI

Advanced Health Enterprise, Inc

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1861345290
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ADVANCED HEALTH ENTERPRISE, INC
Practice address
569 Health Blvd Ste a
Daytona Beach, FL 32114-1499
Phone
(386) 846-6568
Fax
(386) 515-8235
NPI assigned
Feb 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Mrs. Samantha SnowdenNPI 1508329780
Title
Aprn
Phone
(386) 846-6568

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

569 Health Blvd Ste a
Daytona Beach, FL 32114-1499

Mailing address

569 Health Blvd Ste a
Daytona Beach, FL 32114-1499
Phone (386) 846-6568

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": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1861345290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 HEALTH BLVD STE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141499",
            "telephone_number": "386-846-6568",
            "fax_number": "386-515-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 HEALTH BLVD STE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141499",
            "telephone_number": "386-846-6568",
            "fax_number": "386-515-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH ENTERPRISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "SNOWDEN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "386-846-6568",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.