NPIMap

Organization Active NPI

Southeastern Integreated Medical P.L.

  • Family Nurse Practitioner
  • Chiefland, FL
National Provider Identifier
1891037495
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9299250 Issued in FL
Legal business name
SOUTHEASTERN INTEGREATED MEDICAL P.L.
Practice address
1315 N W 21St Ave
Suite 2
Chiefland, FL 32626
Phone
(352) 493-1741
Fax
(352) 490-8641
NPI assigned
Mar 21, 2013
Last updated
Mar 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Ms. Cindy A Prevatt
Title
Division Manager
Phone
(352) 224-2370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X ARNP9299250 FL Primary

Addresses

Primary practice location

1315 N W 21St Ave
Suite 2
Chiefland, FL 32626

Mailing address

3700 Windmeadows Blvd
Apt 77
Gainesville, FL 32608
Phone (352) 275-6562

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Integrated Medical PL5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1891037495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WINDMEADOWS BLVD",
            "address_2": "APT 77",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-275-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N W 21ST AVE",
            "address_2": "SUITE 2",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "32626",
            "telephone_number": "352-493-1741",
            "fax_number": "352-490-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN INTEGREATED MEDICAL P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "PREVATT",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIVISION MANAGER",
        "authorized_official_telephone_number": "352-224-2370",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9299250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.