Individual provider Active NPI

Linda Darr

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1245770742
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9342157 Issued in FL
Practice address
975 S Ponce de Leon Blvd
St Augustine, FL 32084-4278
Phone
(904) 342-7363
NPI assigned
Mar 2, 2017
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 9342157 FL Primary

Addresses

Primary practice location

975 S Ponce de Leon Blvd
St Augustine, FL 32084-4278

Mailing address

560 Farmfield Dr
St Augustine, FL 32092-1496
Phone (904) 891-7342

Other names 1

  • Linda Marie Gillis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190118000758 FL Practitioner - Nurse Practitioner 1153691696 Reassigns benefits to 1 organization
I20241001000188 NY Practitioner - Nurse Practitioner 1153691696 Reassigns benefits to 2 organizations
I20250512001756 TX Practitioner - Nurse Practitioner 1153691696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9342157FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Family Practice PC Family CurrentSince Oct 1, 2024 Accepting new patients
Careathome Medical Practice Ky Family CurrentSince Mar 8, 2025 Accepting new patients
Five Star Medical Office PC CurrentSince Oct 1, 2024 Accepting new patients
Careathome Medical Practice Family CurrentSince Oct 1, 2024 Accepting new patients
Caringathome, LLC Family CurrentSince Sep 1, 2024 Accepting new patients
Crescent Beach Care LLC Past Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

5851 Legacy Cir
Fl 6
Plano, TX 75024
Phone (214) 843-1904

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1245770742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 FARMFIELD DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921496",
            "telephone_number": "904-891-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S PONCE DE LEON BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844278",
            "telephone_number": "904-342-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARR",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9342157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "GILLIS",
            "middle_name": "MARIE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.