Active NPI
Life Tree Women Care, Inc.
- Obstetrics & Gynecology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- LIFE TREE WOMEN CARE, INC.
- Practice address
- 5500 Blanding Blvd
Jacksonville, FL 32244-1946 - Phone
- (904) 379-2540
- Fax
- (904) 379-2541
- NPI assigned
- Jan 4, 2022
- Last updated
- Sep 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Leann Neal
- Title
- Ceo
- Phone
- (904) 379-2540
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| Advanced Practice Midwife | 367A00000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
5500 Blanding Blvd
Jacksonville, FL 32244-1946
Mailing address
5500 Blanding Blvd
Jacksonville, FL 32244-1946
Phone (904) 379-2540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2257908 | Life Tree Women Care Inc | Provider-performed microscopy | Apr 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
3625 University Blvd S
Ste 310
Jacksonville, FL 32216
5500 Blanding Blvd
Jacksonville, FL 32244
Phone (844) 310-2247
5500 Blanding Blvd
Ste 1
Jacksonville, FL 32244
Phone (904) 379-2540
6260 103rd St
Ste 5500
Jacksonville, FL 32210
Interoperability endpoints
- https://api.platform.athenahealth.com/25600/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1023634003
-
- Advanced Practice Midwife
- Jacksonville, FL
- NPI 1902766025
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1376517789
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1780074682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1174284038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 BLANDING BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322441946",
"telephone_number": "904-379-2540",
"fax_number": "904-379-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BLANDING BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322441946",
"telephone_number": "904-379-2540",
"fax_number": "904-379-2541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE TREE WOMEN CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-04",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "LEANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-379-2540"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Life Line Home Care Inc
- Life Mission Chiropractic Inc
- Life Skills Learning Services
- Life Solutions Health Care Services LLC (Life Solutions Care Services)
- Life Touch LLC (Life Touch Home Health LLC)
- Life's Essence Adult Day Services, Inc. (L.E.A.D. Services)
- Lifecare Solutions East, Inc.
- Lifeline Audiology & Hearing Solutions, LLC
- Lifeline Behavior Consulting LLC
- Lifeskills South Florida Outpatient LLC (Pasadena Villa Outpatient- Jacksonville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.