FLORIDA STATE UNIVERSITY
NPI 1902003536
Nurse Practitioner - Primary Care in Tallahassee, FL

Active since June 28, 2007
1630 RIGGINS RD, TALLAHASSEE, FL 32308(850) 878-4434(850) 878-4423 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Jul 21, 2022, Oct 16, 2017 (3 updates tracked since 2017).

About Florida State University NPPES

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

FLORIDA STATE UNIVERSITY (NPI 1902003536), doing business as Fsu Healthy Lifestyle Medicine Clinic, is a healthcare organization registered as a primary care in Tallahassee, Florida and active in the NPI registry since June 2007. The organization lists Jean Wang, Dean College Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1902003536
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameFLORIDA STATE UNIVERSITY
Location Address1630 RIGGINS RDTallahassee, FL 32308-5316
Mailing Address1630 Riggins RdTallahassee, FL 32308-5316 · (850) 878-4434 · Fax (850) 878-4423
Fax(850) 878-4423
Organization SubpartNo
Authorized OfficialJean WangDean College Of Nursing · (850) 644-5707
Enumeration DateJune 28, 2007
Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1902003536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1630 RIGGINS RD, Tallahassee, FL 32308

Other Names 1

Doing Business AsFsu Healthy Lifestyle Medicine Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Rheumatology)
1630 RIGGINS RD
TALLAHASSEE, FL 32308
Nurse Practitioner (Family)
1630 RIGGINS RD
TALLAHASSEE, FL 32308
Internal Medicine (Rheumatology)
1630 RIGGINS RD
TALLAHASSEE, FL 32308
Nurse Practitioner (Family)
1630 RIGGINS RD
TALLAHASSEE, FL 32308
Massage Therapist
1630 RIGGINS RD
TALLAHASSEE, FL 32308
Nurse Practitioner (Acute Care)
1630 RIGGINS RD
TALLAHASSEE, FL 32308

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 Florida State University's NPI number?

The NPI number for Florida State University is 1902003536. It was assigned to this organization in the NPPES registry on June 28, 2007. The provider is doing business as FSU Healthy Lifestyle Medicine Clinic.

Where is Florida State University located?

Florida State University is located at 1630 Riggins Rd, Tallahassee, FL 32308. The listed phone number is (850) 878-4434.

What is Florida State University's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Florida State University accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida State University 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 Florida State University was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.