Individual provider Active NPI

Annamarie Loyola, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1184117574
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9210912 Issued in FL
Practice address
13241 Bartram Park Blvd Unit 413
Jacksonville, FL 32258-5237
Phone
(904) 683-9000
NPI assigned
Jun 11, 2018
Last updated
Jun 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9210912 FL Primary

Addresses

Primary practice location

13241 Bartram Park Blvd Unit 413
Jacksonville, FL 32258-5237

Mailing address

12368 Hagan Creek Dr
Jacksonville, FL 32218-8318
Phone (904) 322-4305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107003330 FL Practitioner - Nurse Practitioner 3870847965 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9210912FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Medical Associates LLC CurrentSince Sep 15, 2018 Accepting new patients
Northeast Florida Health Solution Inc. CurrentSince Oct 4, 2023 Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

13241 Bartram Park Blvd
Unit 413
Jacksonville, FL 32258
Phone (904) 400-6800

6400 Brooks Bartram Dr
Jacksonville, FL 32258
Phone (904) 578-7444

Organizations & group practices 2

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1184117574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12368 HAGAN CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188318",
            "telephone_number": "904-322-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 413",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585237",
            "telephone_number": "904-683-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYOLA",
        "first_name": "ANNAMARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9210912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.