Organization Active NPI

B-Leeve Primary Care

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1033971064
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
B-LEEVE PRIMARY CARE
Practice address
1734 Kingsley Ave Ste 7
Orange Park, FL 32073-4418
Phone
(904) 474-9766
Fax
(866) 531-4642
NPI assigned
Jan 25, 2024
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Quawendella Baejuhne SkinnerNPI 1932534823
Title
President
Phone
(904) 676-6062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1734 Kingsley Ave Ste 7
Orange Park, FL 32073-4418

Mailing address

6295 Sands Pointe Dr
Macclenny, FL 32063-6045
Phone (904) 474-9766

National Provider Directory

National Provider Directory

Locations

9570 Regency Square Blvd
Ste 403
Jacksonville, FL 32225

1734 Kingsley Ave
Ste 7
Orange Park, FL 32073
Phone (904) 474-9766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1033971064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6295 SANDS POINTE DR",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320636045",
            "telephone_number": "904-474-9766",
            "fax_number": "877-273-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 KINGSLEY AVE STE 7",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734418",
            "telephone_number": "904-474-9766",
            "fax_number": "866-531-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B-LEEVE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "QUAWENDELLA",
        "authorized_official_middle_name": "BAEJUHNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-676-6062"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.