Individual provider Active NPI

Natavia M Wicker, OTA

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1063166858
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
8171 Joffre Dr
Jacksonville, FL 32210-2416
Phone
(904) 672-6479
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8171 Joffre Dr
Jacksonville, FL 32210-2416

Mailing address

1169 E 1St St
Jacksonville, FL 32206-5355
Phone (904) 672-6469

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EMPATHYHOMEHEALTHAGENCYLLC@mail.com Empathy Home Health Agency LLC

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

Interoperability endpoints

  • Direct secure messaging: empathyhomehealthagencyllc@mail.com

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1063166858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 E 1ST ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322065355",
            "telephone_number": "904-672-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8171 JOFFRE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102416",
            "telephone_number": "904-672-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKER",
        "first_name": "NATAVIA",
        "middle_name": "M",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EMPATHYHOMEHEALTHAGENCYLLC@mail.com",
            "affiliation": "Y",
            "affiliationName": "Empathy Home Health Agency LLC",
            "address_1": "8171 Joffre Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322102416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 9, 2022; 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.