Individual provider Active NPI

Olenka D Vergaray, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1154268357
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11048227 Issued in FL
Practice address
4123 University Blvd S Ste B
Jacksonville, FL 32216-4320
Phone
(904) 636-9100
Fax
(904) 636-9102
NPI assigned
May 4, 2026
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 APRN11048227 FL Primary

Addresses

Primary practice location

4123 University Blvd S Ste B
Jacksonville, FL 32216-4320

Mailing address

4123 University Blvd S Ste B
Jacksonville, FL 32216-4320
Phone (904) 636-9100

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
RN9557222FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Allergy & Asthma Consultants PastSince Jul 1, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCEFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHHBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJFCA

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": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1154268357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S STE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164320",
            "telephone_number": "904-636-9100",
            "fax_number": "904-636-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S STE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164320",
            "telephone_number": "904-636-9100",
            "fax_number": "904-636-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARAY",
        "first_name": "OLENKA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11048227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 2026; 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.