NPIMap

Organization Active NPI

Advanced Medical Health Clinic, LLC

  • Administrator Registered Nurse
  • Tallahassee, FL
National Provider Identifier
1881604379
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN 9226455 Issued in FL
Legal business name
ADVANCED MEDICAL HEALTH CLINIC, LLC
Practice address
3015 Powell Rd
Tallahassee, FL 32308-6230
Phone
(850) 656-6464
Fax
(850) 558-0224
NPI assigned
Aug 8, 2006
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Napawan Punyaniyama/Case, PH.D., RN
Title
Owner
Phone
(850) 656-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN 9226455 FL Primary

Addresses

Primary practice location

3015 Powell Rd
Tallahassee, FL 32308-6230

Mailing address

PO Box 21093
Tallahassee, FL 32316-1093
Phone (850) 656-6464

National Provider Directory

National Provider Directory

Locations

3015 Powell Rd
Tallahassee, FL 32308
Phone (850) 322-6644

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1881604379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21093",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323161093",
            "telephone_number": "850-656-6464",
            "fax_number": "850-558-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 POWELL RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086230",
            "telephone_number": "850-656-6464",
            "fax_number": "850-558-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "PUNYANIYAMA/CASE",
        "authorized_official_first_name": "NAPAWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-656-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., RN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN 9226455",
            "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 5, 2009; 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.