Individual provider Active NPI

Eleanor F Pardue, NEONATAL NURSE PRACT

  • Neonatal Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1134344302
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
RN9459062 Issued in FL
Practice address
2080 Child St Naval Hospital at Jacksonville
Mother Infant Unit
Jacksonville, FL 32212
Phone
(904) 322-9582
Fax
(904) 542-7046
NPI assigned
Apr 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X ARNP 9164683 FL
Neonatal Nurse Practitioner 363LN0000X RN9459062 FL Primary

Addresses

Primary practice location

2080 Child St Naval Hospital at Jacksonville
Mother Infant Unit
Jacksonville, FL 32212

Mailing address

2080 Child St Naval Hospital at Jacksonville
Mother Infant Unit
Jacksonville, FL 32212
Phone (904) 322-9582

Other names 1

  • Ms. Eleanor F Duty-Pardue Former name

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

State licenses

LicenseStateTypeSpecialty
ARNP 9164683FLMDNeonatal Nurse Practitioner
RN9459062FLMDNeonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1134344302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST NAVAL HOSPITAL AT JACKSONVILLE",
            "address_2": "MOTHER INFANT UNIT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "904-322-9582",
            "fax_number": "904-542-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST NAVAL HOSPITAL AT JACKSONVILLE",
            "address_2": "MOTHER INFANT UNIT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "904-322-9582",
            "fax_number": "904-542-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDUE",
        "first_name": "ELEANOR",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "NEONATAL NURSE PRACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "FL",
            "license": "ARNP 9164683",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "FL",
            "license": "RN9459062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "DUTY-PARDUE",
            "middle_name": "F",
            "prefix": "MS.",
            "credential": "NEONATAL NURSE PRACT",
            "code": "1",
            "type": "Former 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 Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.