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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

B-LEEVE PRIMARY CARE
NPI 1033971064
Nurse Practitioner - Family in Orange Park, FL

Active since January 25, 2024CLIA 10D2321856 · Waiver
1734 KINGSLEY AVE STE 7, ORANGE PARK, FL 32073(904) 474-9766(866) 531-4642 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, Jul 9, 2026, Jan 11, 2025 (3 updates tracked since 2025).

About B-leeve Primary Care NPPES

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

B-LEEVE PRIMARY CARE (NPI 1033971064) is a healthcare organization registered as a family in Orange Park, Florida and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Quawendella Baejuhne Skinner, President, as its authorized official.

NPPES Registry Identity

NPI1033971064
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameB-LEEVE PRIMARY CARE
Location Address1734 KINGSLEY AVE STE 7Orange Park, FL 32073-4418
Mailing Address6295 Sands Pointe DrMacclenny, FL 32063-6045 · (904) 474-9766 · Fax (904) 513-9271
Phone(904) 474-9766
Fax(866) 531-4642
Organization SubpartNo
Authorized OfficialQuawendella Baejuhne SkinnerPresident · (904) 676-6062
Enumeration DateJanuary 25, 2024
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1033971064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1734 KINGSLEY AVE STE 7, Orange Park, FL 32073
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D2321856

B-Leeve Primary Care Inc · Jacksonville, FL
Active · expires Apr 10, 2027
CLIA Number10D2321856
Laboratory TypeHealth Fair
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorQuawendella B. Skinner
Laboratory Phone(904) 474-9766
Laboratory LocationB-Leeve Primary Care Inc9570 Regency Square Blvd, Ste 403D, Jacksonville, FL 32225
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is B-Leeve Primary Care's NPI number?

The NPI number for B-Leeve Primary Care is 1033971064. It was assigned to this organization in the NPPES registry on January 25, 2024.

Where is B-Leeve Primary Care located?

B-Leeve Primary Care is located at 1734 Kingsley Ave Ste 7, Orange Park, FL 32073. The listed phone number is (904) 474-9766.

What is B-Leeve Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does B-Leeve Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2321856) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for B-Leeve Primary Care was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.