Active NPI
Rachel Warren, NP-C
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F11210025
- Practice address
- 6890 Belfort Oaks PL
Jacksonville, FL 32216-6241 - Phone
- (904) 296-1313
- NPI assigned
- Jun 10, 2022
- 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 | F11210025 | FL | Primary |
Addresses
Primary practice location
6890 Belfort Oaks PL
Jacksonville, FL 32216-6241
Mailing address
6890 Belfort Oaks PL
Jacksonville, FL 32216-6241
Phone (904) 296-1313
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1720 Dunlawton Ave
Suite 2
Port Orange, FL 32127-2916
Phone (386) 322-8310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11210025 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Dermatology and Cosmetic Services, P.a. | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Past | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474
865 Saxon Blvd
Orange City, FL 32763
Phone (386) 256-1969
725 W Granada Blvd
Ste 44
Ormond Beach, FL 32174
Phone (386) 898-0547
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
84 Pinnacles Dr
Ste 400
Palm Coast, FL 32164
Phone (386) 256-1969
1720 Dunlawton Ave
Ste 2
Port Orange, FL 32127
Phone (386) 322-8310
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
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.
-
dba Advanced Dermatology and Cosmetic Surq
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
dba Advanced Dermatology and Cosmetic Surgery
- Dermatology Physician
- Orlando, FL
- NPI 1205094778
-
- Dermatology Physician
- Palm Coast, FL
- NPI 1003582123
-
dba Advanced Dermatology And Cosmetic Surgery
- Dermatology Physician
- Heathrow, FL
- NPI 1528097284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1356071658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6890 BELFORT OAKS PL",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166241",
"telephone_number": "904-296-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6890 BELFORT OAKS PL",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166241",
"telephone_number": "904-296-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "RACHEL",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F11210025",
"primary": true
}
],
"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 10, 2022; 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.