Florida State University

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

FLORIDA STATE UNIVERSITY

Doing business as

FSU Healthy Lifestyle Medicine Clinic

Practice address

1630 Riggins Rd
Tallahassee, FL 32308-5316

Phone

(850) 878-4434

Fax

(850) 878-4423

NPI assigned

Jun 28, 2007

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Wang

Title

Dean College of Nursing

Phone

(850) 644-5707

Specialties & licenses 1

Addresses

Other names 1

• FSU Healthy Lifestyle Medicine Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Florida State University

  dba FSU Speech & Hearing Clinic

  • Speech-Language Pathologist
  • Tallahassee, FL
  • NPI 1053309807

  O20170830000258

  Same enrollment
• Florida State University

  dba FSU Speech & Hearing Clinic

  • Audiologist
  • Tallahassee, FL
  • NPI 1497946461

  O20170830000258

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Alicia Anne Craig-Rodriguez, DNP, MBA, ARNP, FNP

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1245786474
  Medicare reassignment NPD
• Nancy Elizabeth Markovich, NP

  • Family Nurse Practitioner
  • Monticello, FL
  • NPI 1518941046
  Medicare reassignment NPD
• Lee Hagan Barfield, APRN

  • Acute Care Nurse Practitioner
  • Tallahassee, FL
  • NPI 1861877094
  NPD
• Jerri Stone Edwards, APRN, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tallahassee, FL
  • NPI 1376043034
  NPD
• Tara Lynn Hayes, DNP FNP

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1245939230
  NPD
• Laura Anne Redfern, NP

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1659183572
  NPD
• Jennifer Schnippert, DNP, ARNP-BC

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1801204987
  NPD
• Kathleen P. Wilson, PHD,CPNP, FNP-BC

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1679728026
  NPD

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1902003536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 RIGGINS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085316",
            "telephone_number": "850-878-4434",
            "fax_number": "850-878-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 RIGGINS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085316",
            "telephone_number": "850-878-4434",
            "fax_number": "850-878-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "DEAN COLLEGE OF NURSING",
        "authorized_official_telephone_number": "850-644-5707"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSU Healthy Lifestyle Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florida State University (FSU Speech & Hearing Clinic)
• Florida State University (FSU Speech & Hearing Clinic)
• Florida State University
• Florida State University (FSU Speech & Hearing Clinic)
• Florida State University (FSU University Health Services)
• Florida State University
• Florida Therapy Services, Inc
• Florida Therapy Services, Inc
• Florida Wellness Center of Tallahassee, Inc
• Chloe Flossic

• Primary Care Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.