Individual provider Active NPI

Rebecca Ann Didi, A.R.N.P.

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1306862958
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2842542 Issued in FL
Practice address
7855 Argyle Forest Blvd
Suite 601
Jacksonville, FL 32244-5596
Phone
(904) 778-3389
Fax
(904) 778-3395
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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 ARNP2842542 FL Primary

Addresses

Primary practice location

7855 Argyle Forest Blvd
Suite 601
Jacksonville, FL 32244-5596

Mailing address

705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (905) 282-6331

Other identifiers 1

IdentifierTypeStateIssuer
307466800MedicaidFL

Other names 1

  • Rebecca Ann Renault Former name

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
I20041116000481 FL Practitioner - Nurse Practitioner 5193789501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

10250 Normandy Blvd
Unit 802
Jacksonville, FL 32221-8064
Phone (904) 379-7155

1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083

7855 Argyle Forest Blvd
Suite 601
Jacksonville, FL 32244-7704
Phone (904) 778-3389

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Ormond Beach, FL, CCN 108499
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2842542FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA CurrentSince Nov 14, 2005 Accepting new patients
Physicians Group Services PA Family CurrentSince Nov 14, 2005 Accepting new patients
Quantum Genesis Inc. Past Accepting new patients
Physicians Group Services PA Past Accepting new patients

Locations

7855 Argyle Forest Blvd
Ste 601
Jacksonville, FL 32244
Phone (904) 570-9404

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244

1909 Beach Blvd
Ste 102
Jax Bch, FL 32250
Phone (904) 246-2752

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

Interoperability endpoints

  • Direct secure messaging: rebecca.didi.1@25110.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1306862958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "905-282-6331",
            "fax_number": "904-282-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD",
            "address_2": "SUITE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445596",
            "telephone_number": "904-778-3389",
            "fax_number": "904-778-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDI",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2842542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307466800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "RENAULT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.