New Formations Consulting LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

NEW FORMATIONS CONSULTING LLC

Practice address

586 Merritt Morning Way Apt 2
Altamonte Springs, FL 32701-2872

Phone

(843) 213-8131

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Paul QuallsNPI 1316768203

Title

Owner

Phone

(843) 213-8131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Croker, ARNP

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1518927763
  Medicare reassignment NPD
• Karen Marley, ARNP

  • Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1992188833
  Medicare reassignment NPD
• Paul R Qualls Jr.

  • Community Health Worker
  • Altamonte Springs, FL
  • NPI 1316768203
  NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1902612088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 MERRITT MORNING WAY APT 2",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327012872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MERRITT MORNING WAY APT 2",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327012872",
            "telephone_number": "843-213-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FORMATIONS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-213-8131"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vamsi Krishna Neppalli, R.PH
• Network Chiropractic Ubo
• Neurologix Diagnostic Services, LLC
• Neurology of Central Florida
• New Beginnings Therapy Solution LLC
• New Light Counseling, LLC
• New Millennium Physical Therapy & Wellness LLC
• New Smile Dentistry of Altamonte Springs, PA
• Hieu Trac Nguyen, M.D.
• Jenny Nguyen, OD

• Nurse Practitioner in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.