Individual provider Active NPI

Jamie Leann Neal, APRN, CNM

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1023634003
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007377 Issued in FL
Practice address
5500 Blanding Blvd Ste 1
Jacksonville, FL 32244-1946
Phone
(904) 379-2540
Fax
(904) 379-2541
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11007377 FL
Nurse Practitioner 363L00000X APRN11007377 FL Primary

Addresses

Primary practice location

5500 Blanding Blvd Ste 1
Jacksonville, FL 32244-1946

Mailing address

5500 Blanding Blvd Ste 1
Jacksonville, FL 32244-1946
Phone (904) 379-2540

Other practice location 1

5300 N Pearl St
Jacksonville, FL 32208-5119
Phone (904) 379-2540

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 367A00000X Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709002212 FL Practitioner - Certified Nurse Midwife (CNM) 9739347121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5500 Blanding Blvd
Suite 1
Jacksonville, FL 32244-1946
Phone (904) 379-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Life Tree Women Care, Inc. CurrentSince Aug 12, 2021 Accepting new patients
North Florida Sleep Solutions Inc PastSince Feb 2, 2011 Accepting new patients

Locations

5500 Blanding Blvd
Ste 1
Jacksonville, FL 32244
Phone (904) 379-2540

5300 N Pearl St
Jacksonville, FL 32208
Phone (904) 253-1025

5500 Blanding Blvd
Jacksonville, FL 32244
Phone (844) 310-2247

Interoperability endpoints

  • Direct secure messaging: jamie.neal.1@25600.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25600/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1023634003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BLANDING BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441946",
            "telephone_number": "904-379-2540",
            "fax_number": "904-379-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BLANDING BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441946",
            "telephone_number": "904-379-2540",
            "fax_number": "904-379-2541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322085119",
            "country_code": "US",
            "telephone_number": "904-379-2540",
            "fax_number": "904-379-2541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JAMIE",
        "middle_name": "LEANN",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11007377",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "367A00000X",
            "affiliation": "N",
            "endpointDescription": "taxonomy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "11945 San Jose Blvd Ste 400",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322231627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.