Active NPI
Michelle L Edmonds, M.D.
- Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1033300678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP3059962
- Practice address
- 6484 Fort Caroline Rd
Jacksonville, FL 32277-2042 - Phone
- (904) 744-7300
- Fax
- (904) 726-1554
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3059962 | FL | Primary |
Addresses
Primary practice location
6484 Fort Caroline Rd
Jacksonville, FL 32277-2042
Mailing address
6484 Fort Caroline Rd
Jacksonville, FL 32277-2042
Phone (904) 744-7300
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3059962 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1033300678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6484 FORT CAROLINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322772042",
"telephone_number": "904-744-7300",
"fax_number": "904-726-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6484 FORT CAROLINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322772042",
"telephone_number": "904-744-7300",
"fax_number": "904-726-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3059962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
- Edgewood Nursing Center Inc (EdgeWood Nursing Center)
- Jonathon Curtis Edgy, MD
- Peter Ediagbonya, RPH
- Stefanie Ann Edinger, PHARMD
- Teresa A. Edison, ARNP
- Derenda Denise Edmondson
- Eduardo a. Sanchez, M.D., P.a.
- Edward a Maybury MD PA
- Edward C. Taylor, PHD. PL
- Edward C. Taylor, PHD. PL (Edward C Taylor, Phd & The Learning Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.