Individual provider Active NPI

Meimuna Osman Haruna, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1477288504
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019957 Issued in FL
Practice address
2376 Chartley LN S
Jacksonville, FL 32246-9326
Phone
(904) 716-5843
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11019957 FL Primary

Addresses

Primary practice location

2376 Chartley LN S
Jacksonville, FL 32246-9326

Mailing address

2376 Chartley LN S
Jacksonville, FL 32246-9326
Phone (904) 716-5843

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
I20240627002242 FL Practitioner - Nurse Practitioner 1759825060 Reassigns benefits to 2 organizations

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
Florida Department of Children and Families 7 clinicians

Practice addresses (Care Compare)

7487 S State Rd
Suite 121
Macclenny, FL 32063-5451
Phone (904) 330-2215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11019957FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc CurrentSince May 1, 2024 Accepting new patients
Florida Department of Children and Families Single Specialty CurrentSince Jan 10, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince May 1, 2024 Accepting new patients
Florida Department of Children and Families Single Specialty Current Accepting new patients
Inpatient Consultants of Florida, Inc Single Specialty Current Accepting new patients

Locations

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Organizations & group practices 7

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477288504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 CHARTLEY LN S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469326",
            "telephone_number": "904-716-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CHARTLEY LN S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469326",
            "telephone_number": "904-716-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARUNA",
        "first_name": "MEIMUNA",
        "middle_name": "OSMAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.