Individual provider Active NPI

Schacarra Ann Ogden, PROVIDER

  • Homemaker
  • Jacksonville, FL
National Provider Identifier
1063936284
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
234956 Issued in FL
Practice address
9545 Waynesboro Ave
Jacksonville, FL 32208-1147
Phone
(904) 258-6309
NPI assigned
Jul 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 234956 FL Primary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X 234956 FL

Addresses

Primary practice location

9545 Waynesboro Ave
Jacksonville, FL 32208-1147

Mailing address

9058 Jefferson Ave
Jacksonville, FL 32208-2225
Phone (904) 258-6309

Other identifiers 1

IdentifierTypeStateIssuer
821755389MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
234956FLMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Treasures Homemaking and Companionship LLC Current Accepting new patients

Organizations & group practices 1

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": "1501372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1063936284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9058 JEFFERSON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082225",
            "telephone_number": "904-258-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 WAYNESBORO AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081147",
            "telephone_number": "904-258-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "SCHACARRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-30",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234956",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "234956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821755389",
            "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 Jan 10, 2023; 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.