Active NPI
Rina Donte Nellon
- Professional Counselor
- Jacksonville, FL
National Provider Identifier
1043853138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2400 Edgewood Ave N
Jacksonville, FL 32254-1727 - Phone
- (904) 568-8299
- NPI assigned
- Oct 22, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | FL | Primary |
Addresses
Primary practice location
2400 Edgewood Ave N
Jacksonville, FL 32254-1727
Mailing address
2695 University Blvd N Apt B203
Jacksonville, FL 32211-3288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59-3128476 | Other | FL | NON-PROFIT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1043853138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 UNIVERSITY BLVD N APT B203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322113288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 EDGEWOOD AVE N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322541727",
"telephone_number": "904-568-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELLON",
"first_name": "RINA",
"middle_name": "DONTE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON-PROFIT",
"identifier": "59-3128476",
"state": "FL"
}
],
"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 Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.