Active NPI
Rebecca Morris, ARNP
- Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2620172
- Practice address
- 7406 Fullerton St Ste 105
Jacksonville, FL 32256 - Phone
- (904) 802-6800
- NPI assigned
- Mar 16, 2015
- Last updated
- Jun 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2620172 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Medical Associates Inc | Current | Accepting new patients | |
| Physical Healthcare of Jacksonville Inc | Family | Current | Accepting new patients |
| Select Health and Wellness LLC | Family | Current | Accepting new patients |
| Select Wound Care LLC | Family | Current | Accepting new patients |
| Mark Pierce Chiropractic Clinic | Past | 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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1760722011
Family
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1649322215
-
- Family Nurse Practitioner
- Fleming Island, FL
- NPI 1922983030
-
- Family Nurse Practitioner
- Fleming Island, FL
- NPI 1780475012
-
- Chiropractor
- Jacksonville, FL
- NPI 1598899080
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.