Individual provider Active NPI

Brittany Marie Debord

  • Health Educator
  • Jacksonville, FL
National Provider Identifier
1013734706
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
221 Riverside Ave
Jacksonville, FL 32202-4907
Phone
(904) 355-1436
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

221 Riverside Ave
Jacksonville, FL 32202-4907

Mailing address

221 Riverside Ave
Jacksonville, FL 32202-4992
Phone (904) 355-1436

Other practice location 1

170 Landrum Ln
Ponte Vedra Beach, FL 32082-3823
Phone (904) 543-9622

Other practice location 2

500 Pope Rd
St Augustine, FL 32080-5931
Phone (904) 471-9622

Other practice location 3

11236 Baptist Health Dr
Jacksonville, FL 32218-2980
Phone (904) 592-9622

Other practice location 4

2057 Town Center Blvd
Fleming Island, FL 32003
Phone (904) 278-9622

Other practice location 5

10423 Centurion Pkwy N
Jacksonville, FL 32256-0527
Phone (904) 854-2000

Other practice location 6

3322 Moody Ave
Orange Park, FL 32065-6811
Phone (904) 272-4304

Other practice location 7

98 Turin Ter
St Augustine, FL 32092-0688
Phone (904) 500-9622

Other practice location 8

5700 Cleveland Rd
Jacksonville, FL 32209-2850
Phone (904) 765-3589

Other practice location 9

1915 Citrona Dr
Fernandina Beach, FL 32034-4492
Phone (904) 261-1080

Other practice location 10

10415 San Jose Blvd
Jacksonville, FL 32257-6206
Phone (904) 292-1660

Other practice location 11

251 Breezeway St
Yulee, FL 32097-3651
Phone (904) 849-9622

Other practice location 12

400 Colonnade Dr
Ponte Vedra, FL 32081-6235
Phone (904) 671-9622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Physical Therapy PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1013734706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024992",
            "telephone_number": "904-355-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024907",
            "telephone_number": "904-355-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Landrum Ln",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320823823",
            "country_code": "US",
            "telephone_number": "904-543-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Pope Rd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320805931",
            "country_code": "US",
            "telephone_number": "904-471-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11236 Baptist Health Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322182980",
            "country_code": "US",
            "telephone_number": "904-592-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2057 Town Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "32003",
            "country_code": "US",
            "telephone_number": "904-278-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10423 Centurion Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322560527",
            "country_code": "US",
            "telephone_number": "904-854-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3322 Moody Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320656811",
            "country_code": "US",
            "telephone_number": "904-272-4304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Turin Ter",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320920688",
            "country_code": "US",
            "telephone_number": "904-500-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Cleveland Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322092850",
            "country_code": "US",
            "telephone_number": "904-765-3589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1915 Citrona Dr",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320344492",
            "country_code": "US",
            "telephone_number": "904-261-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10415 San Jose Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322576206",
            "country_code": "US",
            "telephone_number": "904-292-1660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Breezeway St",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320973651",
            "country_code": "US",
            "telephone_number": "904-849-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Colonnade Dr",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320816235",
            "country_code": "US",
            "telephone_number": "904-671-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBORD",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.