NPIMap

Organization Active NPI

Harold Flockhart Adult Health NP PC

  • Adult Health Nurse Practitioner
  • East Setauket, NY
National Provider Identifier
1982205894
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
HAROLD FLOCKHART ADULT HEALTH NP PC
Practice address
12 Campus Dr
East Setauket, NY 11733-1149
Phone
(631) 521-1683
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Mr. Harold James Flockhart, NPNPI 1093734139
Title
Owner/Practitioner
Phone
(631) 521-1683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

12 Campus Dr
East Setauket, NY 11733-1149

Mailing address

12 Campus Dr
East Setauket, NY 11733-1149
Phone (631) 521-1683

Other names 1

  • balanced telemedicine Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address PRACTITIONER@BALANCEDTELEMEDCINE.COM Direct
Direct Messaging Address PRACTITIONER@BALANCEDTELEMEDICINE.COM Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: practitioner@balancedtelemedcine.com
  • Direct secure messaging: practitioner@balancedtelemedicine.com

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1982205894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CAMPUS DR",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331149",
            "telephone_number": "631-521-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CAMPUS DR",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331149",
            "telephone_number": "631-521-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD FLOCKHART ADULT HEALTH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "FLOCKHART",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "631-521-1683",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PRACTITIONER@BALANCEDTELEMEDCINE.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 Campus Dr",
            "city": "East Setauket",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117331149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PRACTITIONER@BALANCEDTELEMEDICINE.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL, HIPAA COMPLIANT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 Campus Dr",
            "city": "East Setauket",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117331149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "balanced telemedicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.