Organization Active NPI

Her Health Gynecology, LLC

  • Medical Specialty Clinic/Center
  • Lakewood Ranch, FL
National Provider Identifier
1962236158
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
HER HEALTH GYNECOLOGY, LLC
Practice address
6600 University Pkwy Ste 305
Lakewood Ranch, FL 34240-9048
Phone
(601) 517-1425
NPI assigned
Aug 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Eden J Yelverton, MD
Title
Physician Partner
Phone
(601) 517-1425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

6600 University Pkwy Ste 305
Lakewood Ranch, FL 34240-9048

Mailing address

7028 Highgate LN
Lakewood Ranch, FL 34202-1236
Phone (601) 517-1425

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2317536Her Health Gynecology LLC6600 University Pkwy Suite 305, Lakewood Ranch, FL 34240Provider-performed microscopyJan 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1962236158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7028 HIGHGATE LN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342021236",
            "telephone_number": "601-517-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 UNIVERSITY PKWY STE 305",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342409048",
            "telephone_number": "601-517-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER HEALTH GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "YELVERTON",
        "authorized_official_first_name": "EDEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "601-517-1425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.