Individual provider Active NPI

Rebecca Morris, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1346633393
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2620172 Issued in FL
Practice address
7406 Fullerton St Ste 105
Jacksonville, FL 32256
Phone
(904) 802-6800
NPI assigned
Mar 16, 2015
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2620172 FL Primary
Family Nurse Practitioner 363LF0000X 2620172 FL
Registered Nurse 163W00000X 2620172 FL

Addresses

Primary practice location

7406 Fullerton St Ste 105
Jacksonville, FL 32256

Mailing address

7406 Fullerton St Ste 105
Jacksonville, FL 32256-3588
Phone (904) 802-6800

Other practice location 1

7406 Fullerton St Ste 105
Jacksonville, FL 32256
Phone (904) 802-6800

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
I20200205002177 FL Practitioner - Nurse Practitioner 9335449107 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2620172FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
River City Medical Associates Inc CurrentSince May 3, 2021 Accepting new patients
Physical Healthcare of Jacksonville Inc Family CurrentSince Jan 16, 2020 Accepting new patients
Select Health and Wellness LLC Family CurrentSince Jul 20, 2025 Accepting new patients
Select Wound Care LLC Family CurrentSince Jul 20, 2025 Accepting new patients
Mark Pierce Chiropractic Clinic PastSince Jan 16, 2020 Accepting new patients

Locations

1845 Eastwest Pkwy
Ste 10
Fleming Island, FL 32003
Phone (904) 425-9060

12620 Beach Blvd
Ste 6
Jacksonville, FL 32246
Phone (904) 645-0777

6947 Merrill Rd
Jacksonville, FL 32277
Phone (904) 387-7484

Organizations & group practices 5

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": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1346633393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 FULLERTON ST STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563588",
            "telephone_number": "904-802-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 FULLERTON ST STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-802-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7406 Fullerton St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32256",
            "country_code": "US",
            "telephone_number": "904-802-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "REBECCA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2620172",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2620172",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "2620172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.