Individual provider Active NPI

Rachel Warren, NP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1356071658
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11210025 Issued in FL
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

Updated by the provider on Jun 10, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912002982 FL Practitioner - Nurse Practitioner 1254871593 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
F11210025FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Dermatology and Cosmetic Services, P.a. CurrentSince Aug 29, 2024 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Feb 1, 2026 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Feb 1, 2026 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.

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

Verify at the official NPI Registry.