NPIMap

Organization Active NPI

CMS Rockledge

  • Public Health or Welfare Agency
  • Viera, FL
National Provider Identifier
1992886477
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CMS ROCKLEDGE
Practice address
2565 Judge Fran Jamieson Way
Viera, FL 32940-5998
Phone
(321) 639-5888
Fax
(321) 690-3887
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Mrs. Cathleen Mark
Title
Regional Program Administrator
Phone
(407) 858-5579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X FL Primary

Addresses

Primary practice location

2565 Judge Fran Jamieson Way
Viera, FL 32940-5998

Mailing address

2565 Judge Fran Jamieson Way
Viera, FL 32940-5998
Phone (321) 639-5888

Other identifiers 1

IdentifierTypeStateIssuer
060189600MedicaidFL

Other names 1

  • Florida Department of Health Childrens Medical Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Dept of Health Central Pharmacy185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1992886477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 JUDGE FRAN JAMIESON WAY",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329405998",
            "telephone_number": "321-639-5888",
            "fax_number": "321-690-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 JUDGE FRAN JAMIESON WAY",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329405998",
            "telephone_number": "321-639-5888",
            "fax_number": "321-690-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS ROCKLEDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "REGIONAL PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "407-858-5579",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060189600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Department of Health Childrens Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Viera, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.