Active NPI
Annetta Aileen Brown
- Child Intellectual and/or Developmental Disabilities Respite Care
- Jacksonville, FL
National Provider Identifier
1205335619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Practice address
- 4901 Sunbeam Rd Apt 1016
Jacksonville, FL 32257 - Phone
- (904) 502-3363
- Fax
- (904) 527-1686
- NPI assigned
- Feb 12, 2018
- Last updated
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
4901 Sunbeam Rd Apt 1016
Jacksonville, FL 32257
Mailing address
8859 Old Kings Rd S Apt 909
Jacksonville, FL 32257-1751
Phone (904) 502-3363
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Needs Met by Netta Services | Current | Accepting new patients | |
| Needs Met by Netta Services LLC | Current | Accepting new patients | |
| Needs Met by Netta Services | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- In Home Supportive Care Agency
- Jacksonville, FL
- NPI 1437869930
-
dba Annetta A. Brown
- In Home Supportive Care Agency
- Jacksonville, FL
- NPI 1992322663
-
- In Home Supportive Care Agency
- Jacksonville, FL
- NPI 1740979681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1205335619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8859 OLD KINGS RD S APT 909",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322571751",
"telephone_number": "904-502-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 SUNBEAM RD APT 1016",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32257",
"telephone_number": "904-502-3363",
"fax_number": "904-527-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANNETTA",
"middle_name": "AILEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"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 Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.