Individual provider Active NPI

Nadia Brown-Black

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1508713132
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11046032 Issued in FL
Practice address
425 N Lee St Ste 204
Jacksonville, FL 32204-1128
Phone
(904) 427-1200
NPI assigned
Mar 12, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 11046032 FL Primary

Addresses

Primary practice location

425 N Lee St Ste 204
Jacksonville, FL 32204-1128

Mailing address

425 N Lee St Ste 204
Jacksonville, FL 32204-1128
Phone (904) 427-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

322 22ND Ave N
Nashville, TN 37203-1837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11046032FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1508713132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N LEE ST STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041128",
            "telephone_number": "904-427-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N LEE ST STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041128",
            "telephone_number": "904-427-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BLACK",
        "first_name": "NADIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11046032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.