Emily Opdycke, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APRN9479682 Issued in FL

Practice address

14540 Old Saint Augustine Rd Ste 2497
Jacksonville, FL 32258-7420

Phone

(904) 260-0352

Fax

(904) 260-0353

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brown Fertility Associates, P.a.

  • Reproductive Endocrinology Physician
  • Jacksonville, FL
  • NPI 1326519166

  Women'S Health

  NPD (past)

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1366752842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8149 POINT MEADOWS WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569111",
            "telephone_number": "904-260-0352",
            "fax_number": "904-363-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 OLD SAINT AUGUSTINE RD STE 2497",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587420",
            "telephone_number": "904-260-0352",
            "fax_number": "904-260-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 W Gore St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061124",
            "country_code": "US",
            "telephone_number": "904-260-0352",
            "fax_number": "407-244-5513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8149 Point Meadows Way",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322569111",
            "country_code": "US",
            "telephone_number": "904-260-0352",
            "fax_number": "904-363-9818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPDYCKE",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9479682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024227900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "359903",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9677959",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Y0E8G",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Jo-Ann Opar, MS, CCC-SLP
• Christabel Chigozirim Tamuno Opara, MD
• Innocent Onyegbulam Opara, RPH
• Dea Opari
• Catherine Opdam, LCSW
• Open Arms Counseling Center Georgia LLC
• Open Arms Counseling Center LLC
• Open Perspectives, LLC
• Operation Community Restore
• Operation Saving Our Children Inc.

• Women's Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.