Active NPI
Denise Annette Depot, RN
- Registered Nurse
- Jacksonville, FL
National Provider Identifier
1124324884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9299129
- Practice address
- 9408 Bruntsfield Dr
Jacksonville, FL 32244-7175 - Phone
- (904) 327-6097
- NPI assigned
- Jan 28, 2011
- Last updated
- Jan 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9299129 | FL | Primary |
| Registered Nurse | 163W00000X | 267100 | MA |
Addresses
Primary practice location
9408 Bruntsfield Dr
Jacksonville, FL 32244-7175
Mailing address
9408 Bruntsfield Dr
Jacksonville, FL 32244-7175
Phone (904) 327-6097
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9299129 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1124324884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9408 BRUNTSFIELD DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322447175",
"telephone_number": "904-327-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9408 BRUNTSFIELD DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322447175",
"telephone_number": "904-327-6097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPOT",
"first_name": "DENISE",
"middle_name": "ANNETTE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9299129",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "267100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
- Department of Veteran Affairs
- Department of Veterans Affairs (va outpatient clinic)
- Dependable Care Support Services Inc
- Shannon Irene Depenza, CCM
- Lisa G Depetris, PHARMD
- David Lawson Depperman, P.T.
- Jordan Elizabeth Depratter, LMFT
- Brad Depuydt, CRNA
- Marie Paola Derancyn
- Derash Inc (Integrity Home Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.