Organization Active NPI

Fdlrs/Gateway

  • Early Intervention Provider Agency
  • Jasper, FL
National Provider Identifier
1942600580
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
9188843 Issued in FL
Legal business name
FDLRS/GATEWAY
Practice address
5683 US Highway 129 S
Jasper, FL 32052-6793
Phone
(386) 792-2877
NPI assigned
Sep 2, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Carol Milton
Title
Project Coordinator
Phone
(386) 792-2877

National Provider Directory

National Provider Directory
Tax ID family
Hamilton County School Board7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 9188843 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

5683 US Highway 129 S
Jasper, FL 32052-6793

Mailing address

5683 US Highway 129 S
Jasper, FL 32052-6793
Phone (386) 792-2877

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2014.

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1942600580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5683 US HIGHWAY 129 S",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320526793",
            "telephone_number": "386-792-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5683 US HIGHWAY 129 S",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320526793",
            "telephone_number": "386-792-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDLRS/GATEWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PROJECT COORDINATOR",
        "authorized_official_telephone_number": "386-792-2877"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "9188843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.