Individual provider Active NPI

Kendra Seccombe, APRN

  • Women's Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1083073365
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN11008501 Issued in FL
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

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624001525 FL Practitioner - Nurse Practitioner 2163728338 Reassigns benefits to 3 organizations

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
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

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 Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
69313OKMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC CurrentSince Mar 25, 2025 Accepting new patients
Women'S Care Florida LLC CurrentSince Mar 25, 2025 Accepting new patients
Agape Community Health Center, Inc. CurrentSince May 17, 2021 Accepting new patients
Agape Community Health Center, Inc CurrentSince May 17, 2021 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

  • Direct secure messaging: kendra.seccombe@wcfnf.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.