TALLAHASSEE MEMORIAL DIABETES PREVENTION PROGRAM – NPI #1467012393
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

TALLAHASSEE MEMORIAL DIABETES PREVENTION PROGRAM is a provider located in TALLAHASSEE, FL. NPPES has assigned the NPI number 1467012393 to TALLAHASSEE MEMORIAL DIABETES PREVENTION PROGRAM on June 13, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TALLAHASSEE MEMORIAL DIABETES PREVENTION PROGRAM” is a dba name, the actual legal business name for this organization is TALLAHASSEE MEMORIAL HEALTHCARE INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was last updated on Jan 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TALLAHASSEE MEMORIAL DIABETES PREVENTION PROGRAM below.

NPI Profile for
TALLAHASSEE MEMORIAL HEALTHCARE INC

NPI Number
1467012393
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TALLAHASSEE MEMORIAL HEALTHCARE INC
Doing Business As (dba): TALLAHASSEE MEMORIAL DIABETES PREVENTION PROGRAM
Primary location
2633 CENTENNIAL BLVD STE 100
TALLAHASSEE, FL 32308-0606
Phone: (850) 431-5404 Fax:
Mailing address
1607 SAINT JAMES CT STE 1
TALLAHASSEE, FL 32308-5352
Phone: (850) 431-7021 Fax:
Organization Subpart
No
Authorized Official
JENNIFER PARKS
PRESIDENT
Phone: (850) 431-6234
Updated
Certification Date
Jan 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.