Nulife by Design

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

NULIFE BY DESIGN

Practice address

110 S Lake St
Leesburg, FL 34748-7300

Phone

(352) 874-1599

NPI assigned

Mar 25, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Tomika Walker

Title

Ceo

Phone

(352) 874-1599

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1952728123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49208",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S LAKE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487300",
            "telephone_number": "352-874-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE BY DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "TOMIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-874-1599",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.