Individual provider Active NPI

Florence Ochieng-Kizia

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1023427689
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002876 Issued in FL
Practice address
10739 Deerwood Park Blvd Ste 200
Jacksonville, FL 32256-4839
Phone
(800) 793-7050
Fax
(866) 509-6155
NPI assigned
Aug 7, 2014
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002876 FL Primary
Family Nurse Practitioner 363LF0000X F338822 NY

Addresses

Primary practice location

10739 Deerwood Park Blvd Ste 200
Jacksonville, FL 32256-4839

Mailing address

10739 Deerwood Park Blvd Ste 200
Jacksonville, FL 32256-4839
Phone (800) 793-7050

Other names 1

  • Florence Ochieng Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260403002692 MO Practitioner - Nurse Practitioner 5890068084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F338822NYMDFamily Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1023427689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10739 DEERWOOD PARK BLVD STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564839",
            "telephone_number": "800-793-7050",
            "fax_number": "866-509-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 DEERWOOD PARK BLVD STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564839",
            "telephone_number": "800-793-7050",
            "fax_number": "866-509-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHIENG-KIZIA",
        "first_name": "FLORENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002876",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORENCE",
            "last_name": "OCHIENG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.