Individual provider Active NPI

Patricia Faith Jones, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1124083464
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1318882 Issued in FL
Practice address
6856 103Rd St
Jacksonville, FL 32210-6877
Phone
(904) 777-0616
Fax
(904) 777-0688
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP1318882 FL Primary

Addresses

Primary practice location

6856 103Rd St
Jacksonville, FL 32210-6877

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623

Other practice location 1

178 Lasalle Lefall Dr
Quincy, FL 32351-5278
Phone (850) 875-3600

Other identifiers 1

IdentifierTypeStateIssuer
303594800MedicaidFL

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
I20100728000764 FL Practitioner - Nurse Practitioner 2062545015 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP1318882FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc CurrentSince Nov 28, 2016 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince May 1, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince May 1, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 28, 2016 Accepting new patients

Locations

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

1833 Boulevard
Jacksonville, FL 32206
Phone (904) 244-3289

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

6856 103rd St
Jacksonville, FL 32210
Phone (904) 777-0616

3 Shircliff Way
Ste 330
Jacksonville, FL 32204
Phone (904) 384-7370

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1124083464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 103RD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106877",
            "telephone_number": "904-777-0616",
            "fax_number": "904-777-0688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Lasalle Lefall Dr",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "FL",
            "postal_code": "323515278",
            "country_code": "US",
            "telephone_number": "850-875-3600",
            "fax_number": "850-627-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "PATRICIA",
        "middle_name": "FAITH",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1318882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303594800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.