Individual provider Active NPI

Sailaja Ravilla, APRN, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1326601501
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015456 Issued in FL
Practice address
120 Saint Johns Commons Rd
Jacksonville, FL 32259-4057
Phone
(904) 824-9177
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 APRN11015456 FL Primary

Addresses

Primary practice location

120 Saint Johns Commons Rd
Jacksonville, FL 32259-4057

Mailing address

120 Saint Johns Commons Rd
Jacksonville, FL 32259-4057
Phone (904) 824-9177

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
I20220105002448 FL Practitioner - Nurse Practitioner 5294147724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

906 Blanding Blvd
Orange Park, FL 32065-6206
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11015456FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Dec 6, 2021 Accepting new patients
Physical Medicine Specialists, Inc. CurrentSince Jun 6, 2022 Accepting new patients

Locations

3901 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7251

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

906 Blanding Blvd
Orange Park, FL 32065
Phone (904) 213-4444

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

120 Saint Johns Commons Rd
Saint Johns, FL 32259
Phone (904) 824-9177

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

611 S Howard Ave
Tampa, FL 33606
Phone (401) 770-4415

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1326601501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SAINT JOHNS COMMONS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594057",
            "telephone_number": "904-824-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SAINT JOHNS COMMONS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594057",
            "telephone_number": "904-824-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVILLA",
        "first_name": "SAILAJA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.