Learningrx St Johns, LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

LEARNINGRX ST JOHNS, LLC

Practice address

113 Nature Walk Pkwy Unit 103
Saint Augustine, FL 32092-3066

Phone

(904) 719-8416

NPI assigned

Apr 15, 2021

Organization subpart

No

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

Authorized official

Name

Kelli Fontaine, BCCS

Title

Director

Phone

(904) 540-1850

Specialties & licenses 1

Addresses

Other names 1

• LearningRx St Johns Doing business as

Locations

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1982285532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NATURE WALK PKWY UNIT 103",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923066",
            "telephone_number": "904-719-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NATURE WALK PKWY UNIT 103",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923066",
            "telephone_number": "904-719-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARNINGRX ST JOHNS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-540-1850",
        "authorized_official_credential": "BCCS"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LearningRx St Johns",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Le, NP
• Shirley N Leadem, M.D.
• Deirdre Leake, MD
• Leah Lear, APRN
• Learning My Way ABA, LLC
• Tymber Sloane Leavitt
• Thomas Anthony Lebeau, D.P.M.
• Rachel Lechwar
• Mary Leckey
• Lauren Ledbetter

• Rehabilitation Practitioner in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Rehabilitation Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.