Individual provider Active NPI

Alexandra Budd, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1497386015
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11005004 Issued in FL
Practice address
4866 Big Island Dr Unit 5
Jacksonville, FL 32246-5301
Phone
(904) 652-0652
NPI assigned
Feb 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11005004 FL Primary

Addresses

Primary practice location

4866 Big Island Dr Unit 5
Jacksonville, FL 32246-5301

Mailing address

71 Tarklin Rd
Saint Johns, FL 32259-8770
Phone (904) 402-0901

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
I20240703001806 FL Practitioner - Nurse Practitioner 6305380155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Foot Care and Wellness Clinic, LLCGroup PAC ID 3870892805, 13 clinicians

Practice addresses (Care Compare)

8021 Philips Hwy
Suite 1
Jacksonville, FL 32256-7460
Phone (904) 323-0954

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Foot Care and Wellness Clinic, LLC CurrentSince Apr 21, 2024 Accepting new patients
Ideal Image PastSince Feb 9, 2020 Accepting new patients
Clay County Podiatry Associates PA Past Accepting new patients

Locations

8613 Old Kings Rd S
Ste 301
Jacksonville, FL 32217
Phone (904) 323-0954

6500 Fort Caroline Rd
Ste A
Jacksonville, FL 32277
Phone (904) 323-0954

8021 Philips Hwy
Ste 1
Jacksonville, FL 32256
Phone (904) 323-0954

1215 Dunn Ave
Ste 3
Jacksonville, FL 32218
Phone (904) 323-0954

1215 Dunn Ave
Jacksonville, FL 32218
Phone (904) 757-1998

905 Beach Blvd
#B
Jacksonville Beach, FL 32250
Phone (904) 246-4831

14444 Beach Blvd
Ste 28
Jacksonville Beach, FL 32250
Phone (904) 323-0954

630 Jacksonville Dr
Jax Bch, FL 32250
Phone (904) 249-4645

430 College Dr
Ste 115
Middleburg, FL 32068
Phone (904) 291-4885

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFJGBD

Organizations & group practices 3

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": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1497386015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 TARKLIN RD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598770",
            "telephone_number": "904-402-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4866 BIG ISLAND DR UNIT 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322465301",
            "telephone_number": "904-652-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDD",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11005004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.