Active NPI
Rebecca Ann Didi, A.R.N.P.
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP2842542
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307466800 | Medicaid | FL |
Other names 1
- Rebecca Ann Renault
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
Enrollment records 1
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
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
- Vitas Healthcare Corporation of Florida
- Ascension St Vincent'S Riverside
- Baptist Health Medical Center - Jacksonville
- Ascension St Vincent'S Clay County
- HCA Florida Orange Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2842542 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group Services PA | Current | Accepting new patients | |
| Physicians Group Services PA | Family | Current | 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
- 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.
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1861440810
-
- Durable Medical Equipment & Medical Supplies
- Middleburg, FL
- NPI 1699170035
-
- Physical Medicine & Rehabilitation Physician
- Orange Park, FL
- NPI 1528371051
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1285631416
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- Home Health Agency
- Jacksonville, FL
- NPI 1134716970
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.