Active NPI
Nola Care, LLC
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- NOLA CARE, LLC
- Practice address
- 13241 Bartram Park Blvd Unit 505
Jacksonville, FL 32258-5213 - Phone
- (905) 701-3610
- Fax
- (904) 339-9752
- NPI assigned
- Feb 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Roussell, NP
- Title
- Owner
- Phone
- (504) 237-7908
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
13241 Bartram Park Blvd Unit 505
Jacksonville, FL 32258-5213
Mailing address
13241 Bartram Park Blvd Unit 505
Jacksonville, FL 32258-5213
Phone (904) 701-3610
Other practice location 1
13241 Bartram Park Blvd Unit 505
Jacksonville, FL 32258-5213
Phone (904) 701-3610
Other names 1
- NOLA Care LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2327738 | Nola Care LLC | Certificate of waiver | Jul 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
13241 Bartram Park Blvd
Unit 505
Jacksonville, FL 32258
Phone (904) 701-3610
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Orange Park, FL
- NPI 1033924642
-
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1386988939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763769600000",
"number": "1083477814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13241 BARTRAM PARK BLVD UNIT 505",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585213",
"telephone_number": "904-701-3610",
"fax_number": "833-972-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13241 BARTRAM PARK BLVD UNIT 505",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585213",
"telephone_number": "905-701-3610",
"fax_number": "904-339-9752"
}
],
"practiceLocations": [
{
"address_1": "13241 Bartram Park Blvd Unit 505",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322585213",
"country_code": "US",
"telephone_number": "904-701-3610",
"fax_number": "833-972-5105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOLA CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-05",
"last_updated": "2025-11-22",
"certification_date": "2025-11-22",
"status": "A",
"authorized_official_last_name": "ROUSSELL",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-237-7908",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NOLA Care LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "NOLA Care LLC",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.