NP BY THE SEA LLC
NPI 1245983360
Clinic/Center in Ormond Beach, FL

NPI Status: Active since January 29, 2022

Contact Information

28 SILVER FOX TRL
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 487-8433

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  • Organization
  • Clinic/Center
  • CLIA Number: 10D2307452
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 07-08-2026

About NP BY THE SEA LLC

This page provides the complete NPI Profile along with additional information for Np By The Sea Llc, a provider established in Ormond Beach, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245983360 assigned on January 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jordan Roberson Arnp (Owner)

NPI
1245983360
Provider Name
NP BY THE SEA LLC
Entity Type
Organization
Location Address
28 SILVER FOX TRL ORMOND BEACH, FL 32174
Location Phone
(386) 487-8433
Mailing Address
28 SILVER FOX TRL ORMOND BEACH, FL 32174
Mailing Phone
(386) 487-8433
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2022
Last Update Date
01-29-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JORDAN ROBERSON ARNP

Authorized Official Title
OWNER
Authorized Official Phone
(386) 405-2823

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2307452
Facility Type
Practitioner Other
Certificate Effective Date
July 09, 2024
Certificate Expiration Date
July 08, 2026
Laboratory Director
JORDAN R. ROBERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Np By The Sea Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245983360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851886312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 8 + 8 + 6 + 3 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245983360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245983360, enumerated in the NPI registry as an "organization" on January 29, 2022

The provider is located at 28 Silver Fox Trl Ormond Beach, Fl 32174 and the phone number is (386) 487-8433

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 10D2307452 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 29, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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