Active NPI
Kendra Seccombe, APRN
- Women's Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN11008501
- Practice address
- 836 Prudential Dr Ste 1202
Jacksonville, FL 32207-8339 - Phone
- (904) 493-5323
- Fax
- (866) 554-1605
- NPI assigned
- Feb 16, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 69313 | OK | |
| Women's Health Nurse Practitioner | 363LW0102X | APRN11008501 | FL | Primary |
Addresses
Primary practice location
836 Prudential Dr Ste 1202
Jacksonville, FL 32207-8339
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
120 King St
Jacksonville, FL 32204-2410
Phone (904) 760-4904
Other practice location 2
6024 Merrill Rd
Jacksonville, FL 32277-3427
Phone (904) 760-4904
Other practice location 3
5460 Blanding Blvd
Jacksonville, FL 32244-1957
Phone (904) 760-4904
Other practice location 4
1680 Dunn Ave Ste 35
Jacksonville, FL 32218-4744
Phone (904) 760-4960
Other practice location 5
3900 University Blvd S Ste 2
Jacksonville, FL 32216-4331
Phone (904) 760-4904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
836 Prudential Dr
Suite 1202
Jacksonville, FL 32207-8339
Phone (904) 493-5323
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69313 | OK | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Women'S Care Florida LLC | Current | Accepting new patients | |
| Agape Community Health Center, Inc. | Current | Accepting new patients | |
| Agape Community Health Center, Inc | Current | Accepting new patients |
Locations
6024 Merrill Rd
Jacksonville, FL 32277
Phone (904) 723-5422
3900 University Blvd S
Ste 2
Jacksonville, FL 32216
Phone (904) 760-4940
5460 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 800-6347
3900 University Blvd S
Jacksonville, FL 32216
Phone (904) 222-6656
1680 Dunn Ave
Ste 35
Jacksonville, FL 32218
Phone (904) 714-9053
836 Prudential Dr
Ste 1202
Jacksonville, FL 32207
Phone (904) 208-2550
120 King St
Jacksonville, FL 32204
Phone (904) 800-6347
1361 13th Ave S
Ste 190
Jacksonville Beach, FL 32250
Phone (904) 247-5514
5002 W Lemon St
Tampa, FL 33609
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
850966 US Highway 17
Yulee, FL 32097
Phone (904) 321-2229
Interoperability endpoints
- kendra.seccombe@wcfnf.eclinicaldirectplus.com
- kendra.seccombe.1@12891.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, FL
- NPI 1962867762
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, FL
- NPI 1245695774
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1083073365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PRUDENTIAL DR STE 1202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078339",
"telephone_number": "904-493-5323",
"fax_number": "866-554-1605"
}
],
"practiceLocations": [
{
"address_1": "120 King St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322042410",
"country_code": "US",
"telephone_number": "904-760-4904",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6024 Merrill Rd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322773427",
"country_code": "US",
"telephone_number": "904-760-4904",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5460 Blanding Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322441957",
"country_code": "US",
"telephone_number": "904-760-4904",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1680 Dunn Ave Ste 35",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322184744",
"country_code": "US",
"telephone_number": "904-760-4960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3900 University Blvd S Ste 2",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322164331",
"country_code": "US",
"telephone_number": "904-760-4904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SECCOMBE",
"first_name": "KENDRA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OK",
"license": "69313",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "APRN11008501",
"primary": true
}
],
"identifiers": [],
"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 Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.