Geraldine M Obi, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1233532 Issued in FL

Practice address

3599 University Blvd S Ste 1600
Jacksonville, FL 32216-7441

Phone

(904) 346-0060

NPI assigned

Jul 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jacksonville Plastic Surgery Inc

  • Plastic Surgery Physician
  • Jacksonville, FL
  • NPI 1588985972
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1376065417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 1600",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167441",
            "telephone_number": "904-655-0413",
            "fax_number": "904-346-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 1600",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167441",
            "telephone_number": "904-346-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Marsh Landing Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322502407",
            "country_code": "US",
            "telephone_number": "904-346-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBI",
        "first_name": "GERALDINE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "1233532",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "1233532",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "1233532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Hilles Ober Jr., M.D.
• Brooke Alexis Oberhaus, RBT
• Beth Ellen Oberlander, LCSW
• OBGYN Specialists of North Florida LLC
• Chukwuemeka Anderson Obi, MD
• John J Obi, M.D.
• Lewis J Obi, MD
• Makaela Obi
• Obi's Adult Family Care LLC
• Obi's Adult Family Care LLC

• Adult Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.