Individual provider Active NPI

Ronnesia Austin Wright, ARNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1184139271
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9199077 Issued in FL
Practice address
1470 W 13TH St
Jacksonville, FL 32209-5545
Phone
(904) 450-8730
Fax
(904) 450-8739
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 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 ARNP9199077 FL Primary

Addresses

Primary practice location

1470 W 13TH St
Jacksonville, FL 32209-5545

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623

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
I20181211003603 FL Practitioner - Nurse Practitioner 9133463565 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9199077FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Oct 8, 2018 Accepting new patients
Florida Department of Health CurrentSince Apr 1, 2024 Accepting new patients
Florida Department of Health CurrentSince Apr 1, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Oct 8, 2018 Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

1470 W 13th St
Jacksonville, FL 32209
Phone (904) 450-8730

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

5300 N Pearl St
Jacksonville, FL 32208
Phone (904) 253-1025

3225 University Blvd S
Ste 101
Jacksonville, FL 32216
Phone (904) 253-1120

3 Shircliff Way
Ste 330
Jacksonville, FL 32204
Phone (904) 384-7370

515 W 6th St
Jacksonville, FL 32206
Phone (904) 253-1040

1503 Oak St
Jacksonville, FL 32204
Phone (904) 353-2019

921 N Davis St
Ste 251
Jacksonville, FL 32209

515 W 6th St
Ste 206
Jacksonville, FL 32206

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1184139271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 W 13TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322095545",
            "telephone_number": "904-450-8730",
            "fax_number": "904-450-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "RONNESIA",
        "middle_name": "AUSTIN",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9199077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.