ST JOHNS COUNTY HEALTH DEPARTMENT
NPI 1023081932
Public Health or Welfare in St Augustine, FL

Active since February 10, 2006CLIA 10D0884169 · Waiver
200 SAN SEBASTIAN VW, ST AUGUSTINE, FL 32084(904) 506-6081(904) 825-6875 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 18, 2024, Mar 14, 2016 (2 updates tracked since 2016).

About St Johns County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JOHNS COUNTY HEALTH DEPARTMENT (NPI 1023081932) is a healthcare organization registered as a public health or welfare in St Augustine, Florida and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Shane Lockwood, Health Officer, as its authorized official.

NPPES Registry Identity

NPI1023081932
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameFLORIDA DEPARTMENT OF HEALTH
Location Address200 SAN SEBASTIAN VWSt Augustine, FL 32084-8695
Mailing Address200 San Sebastian VwSt Augustine, FL 32084-8695 · (904) 506-6081 · Fax (904) 825-6875
Fax(904) 825-6875
Organization SubpartNo
Authorized OfficialShane LockwoodHealth Officer · (904) 506-6153
Enumeration DateFebruary 10, 2006
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
NPI 1023081932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
200 SAN SEBASTIAN VW, St Augustine, FL 32084

Other Names 1

Doing Business AsSt Johns County Health Department

Other Identifiers 3

Medicaid027965000FL
Other6000002143FL · Railroad Medicare Number
Other99309FL · Medicare Group Id

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0884169

Florida Department Of Health In St Johns County · Saint Augustine, FL
Active · expires Apr 11, 2028
CLIA Number10D0884169
Laboratory TypePublic Health Laboratories
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorBruce H. Kraut
Laboratory Phone(904) 506-6081
Laboratory LocationFlorida Department Of Health In St Johns County200 San Sebastian View, Saint Augustine, FL 32084
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Public Health & General Preventive Medicine)
200 SAN SEBASTIAN VW
ST AUGUSTINE, FL 32084
Social Worker (Clinical)
200 SAN SEBASTIAN VW
ST AUGUSTINE, FL 32084
Dental Hygienist
200 SAN SEBASTIAN VW
ST AUGUSTINE, FL 32084
Nurse Practitioner (Psychiatric/Mental Health)
200 SAN SEBASTIAN VW
ST AUGUSTINE, FL 32084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023081932, enumerated as an "organization" on February 10, 2006.

The provider is located at 200 SAN SEBASTIAN VW ST AUGUSTINE, FL 32084 and the phone number is (904) 506-6081.

Public Health or Welfare with taxonomy code 251K00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.