Individual provider Active NPI

Willa Jane Price, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1427198530
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2722862 Issued in FL
Practice address
3690 Saint Johns Bluff Rd S
Jacksonville, FL 32224-2616
Phone
(904) 645-6767
Fax
(904) 645-0145
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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 ARNP2722862 FL Primary

Addresses

Primary practice location

3690 Saint Johns Bluff Rd S
Jacksonville, FL 32224-2616

Mailing address

3690 Saint Johns Bluff Rd S
Jacksonville, FL 32224-2616
Phone (904) 645-6767

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
I20070725000733 FL Practitioner - Nurse Practitioner 2365543998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2014 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2014 Accepting new patients

Locations

2627 Riverside Ave
Jacksonville, FL 32204
Phone (904) 308-7372

3690 Saint Johns Bluff Rd S
Jacksonville, FL 32224
Phone (904) 202-6683

9560 Crosshill Blvd
Ste 110
Jacksonville, FL 32222
Phone (904) 203-1296

858 Monument Rd
Ste A
Jacksonville, FL 32225
Phone (904) 450-6600

Interoperability endpoints

  • Direct secure messaging: willa.price.1@8967.direct.athenahealth.com

Organizations & group practices 2

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1427198530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 SAINT JOHNS BLUFF RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242616",
            "telephone_number": "904-645-6767",
            "fax_number": "904-645-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 SAINT JOHNS BLUFF RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242616",
            "telephone_number": "904-645-6767",
            "fax_number": "904-645-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "WILLA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2722862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.