Individual provider Active NPI

Janette Felisa Acosta Sanz, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1134908692
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11025805 Issued in FL
Practice address
9471 Baymeadows Rd Ste 107
Jacksonville, FL 32256-7968
Phone
(904) 504-0504
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11025805 FL Primary

Addresses

Primary practice location

9471 Baymeadows Rd Ste 107
Jacksonville, FL 32256-7968

Mailing address

4745 Dresden CT
Jacksonville, FL 32257-1206
Phone (904) 485-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11025805FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desire Health Care Corp. CurrentSince Mar 1, 2024 Accepting new patients

Locations

9471 Baymeadows Rd
Ste 107
Jacksonville, FL 32256
Phone (904) 504-0504

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1134908692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 DRESDEN CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571206",
            "telephone_number": "904-485-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9471 BAYMEADOWS RD STE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567968",
            "telephone_number": "904-504-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA SANZ",
        "first_name": "JANETTE",
        "middle_name": "FELISA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11025805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.