Individual provider Active NPI

Uzziel Jivcu, ARNP

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1316303670
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9307202 Issued in FL
Practice address
145 Cypress Point Pkwy
Suite 105
Palm Coast, FL 32164-8426
Phone
(386) 283-5654
NPI assigned
Jan 1, 2016
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9307202 FL
Family Nurse Practitioner 363LF0000X ARNP9307202 FL Primary

Addresses

Primary practice location

145 Cypress Point Pkwy
Suite 105
Palm Coast, FL 32164-8426

Mailing address

PO Box 354034
Palm Coast, FL 32135-4034

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

State licenses

LicenseStateTypeSpecialty
APRN9307202FLMDFamily Nurse Practitioner
ARNP9307202FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John G Symeonides M D LLC PastSince Jan 12, 2025 Accepting new patients

Organizations & group practices 1

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": "1451606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1316303670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354034",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321354034",
            "fax_number": "386-264-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CYPRESS POINT PKWY",
            "address_2": "SUITE 105",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648426",
            "telephone_number": "386-283-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVCU",
        "first_name": "UZZIEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-01",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9307202",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9307202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.