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PARETO POPULATION HEALTH MANAGEMENT PRACTICE PLLC
NPI 1598396392
Family Medicine in Jacksonville, FL

Active since January 30, 2020CLIA Certified · 3 labs
1697 KINGS RD STE 1, JACKSONVILLE, FL 32209(904) 478-5483(904) 478-5577 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2020, Jan 30, 2020 (2 updates tracked since 2020).

About Pareto Population Health Management Practice Pllc NPPES

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

PARETO POPULATION HEALTH MANAGEMENT PRACTICE PLLC (NPI 1598396392) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since January 2020. The organization holds 3 active CLIA laboratory certificates and lists Kenyatta Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1598396392
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePARETO POPULATION HEALTH MANAGEMENT PRACTICE PLLC
Location Address1697 KINGS RD STE 1Jacksonville, FL 32209-6169
Mailing Address1697 Kings Rd Ste 1Jacksonville, FL 32209-6169 · (904) 478-5483 · Fax (904) 478-5577
Phone(904) 478-5483
Fax(904) 478-5577
Organization SubpartNo
Authorized OfficialKenyatta LeeOwner · (904) 478-5483
Enumeration DateJanuary 30, 2020
Last NPPES UpdateAugust 10, 20202 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1598396392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1697 KINGS RD STE 1, Jacksonville, FL 32209
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 10D2194638

Pareto Population Health Management Practice PLLC · Jacksonville, FL
Active · expires Oct 1, 2026
CLIA Number10D2194638
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorKenyatta Lee
Laboratory Phone(904) 478-5483
Laboratory LocationPareto Population Health Management Practice PLLC1697 Kings Rd - Ste 1, Jacksonville, FL 32209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2321742

Pareto Population Health Management Practice PLLC · Jacksonville, FL
Active · expires Apr 8, 2027
CLIA Number10D2321742
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorKenyatta Lee
Laboratory Phone(904) 478-5483
Laboratory LocationPareto Population Health Management Practice PLLC5212 N Pearl Street, Jacksonville, FL 32208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2321608

Pareto Population Health Management Practice PLLC · Jacksonville, FL
Active · expires Apr 6, 2027
CLIA Number10D2321608
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorKenyatta Lee
Laboratory Phone(904) 478-5483
Laboratory LocationPareto Population Health Management Practice PLLC5212 N Pearl Street, Jacksonville, FL 32208
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 2

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

CASEY MOORE APRN
Nurse Practitioner (Family)
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 478-5483
KATHLEEN ANNE NOLAN APRN
Nurse Practitioner (Family)
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 478-5483

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 Pareto Population Health Management Practice PLLC's NPI number?

The NPI number for Pareto Population Health Management Practice PLLC is 1598396392. It was assigned to this organization in the NPPES registry on January 30, 2020.

Where is Pareto Population Health Management Practice PLLC located?

Pareto Population Health Management Practice PLLC is located at 1697 Kings Rd Ste 1, Jacksonville, FL 32209. The listed phone number is (904) 478-5483.

What is Pareto Population Health Management Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pareto Population Health Management Practice PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pareto Population Health Management Practice PLLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Pareto Population Health Management Practice PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pareto Population Health Management Practice PLLC was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.