NLS Family Enterprise, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PED 94 Issued in FL

Legal business name

NLS FAMILY ENTERPRISE, INC.

Practice address

4372 Southside Blvd
Suite 303
Jacksonville, FL 32216-8501

Phone

(904) 646-4640

Fax

(904) 646-4631

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Narendra Sreeram, CPED

Title

President

Phone

(904) 646-4640

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foot Solutions Doing business as

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1871651620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4372 SOUTHSIDE BLVD",
            "address_2": "SUITE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168501",
            "telephone_number": "904-646-4640",
            "fax_number": "904-646-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4372 SOUTHSIDE BLVD",
            "address_2": "SUITE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168501",
            "telephone_number": "904-646-4640",
            "fax_number": "904-646-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NLS FAMILY ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SREERAM",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-646-4640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PED 94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "M2790",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Victoria Nixon, PSYD
• Kenneth E Nixon, MD
• Tiffany Nixon, BS
• Cho Nkengla
• NLD Specialists PLLC
• NMR Wellness Group, LLC
• Noble Care LLC
• Noble Gardens of Jacksonville, LLC
• Noble Gardens Senior Living, LLC
• Noble House Retirement of Jacksonville

• Prosthetic/Orthotic Supplier in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.