Organization Active NPI

Rural and Health Disparities Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1295503654
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RURAL AND HEALTH DISPARITIES PSYCHIATRIC SERVICES
Practice address
8063 Beatle Blvd
Jacksonville, FL 32244-8226
Phone
(609) 477-3373
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Linda Elisa Flickinger, MSN, APRNNPI 1346605680
Title
Pmhnp-BC
Phone
(609) 477-3373

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8063 Beatle Blvd
Jacksonville, FL 32244-8226

Mailing address

8063 Beatle Blvd
Jacksonville, FL 32244-8226
Phone (609) 477-3373

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1295503654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8063 BEATLE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448226",
            "telephone_number": "609-477-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8063 BEATLE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448226",
            "telephone_number": "609-477-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL AND HEALTH DISPARITIES PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "FLICKINGER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ELISA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "609-477-3373",
        "authorized_official_credential": "MSN, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "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 Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.