Individual provider Active NPI

Vicki Teal, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1518457357
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9270069 Issued in FL
Practice address
655 W 8TH St FL Center1
Jacksonville, FL 32209-6511
Phone
(904) 244-5044
Fax
(904) 244-4508
NPI assigned
May 17, 2018
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 APRN9270069 FL Primary

Addresses

Primary practice location

655 W 8TH St FL Center1
Jacksonville, FL 32209-6511

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 296-5691

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
I20180830003692 FL Practitioner - Nurse Practitioner 4284984865 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

653 W 8TH St
Jacksonville, FL 32209-6511

655 W 8TH St
Jacksonville, FL 32209-6511

655 W 8TH St
Jacksonville, FL 32231-6511
Phone (904) 244-6340

76011 William Burgess Rd
Yulee, FL 32097-5428
Phone (904) 427-8590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9270069FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Florida Institute of Pain Medicine LLC CurrentSince Jul 28, 2022 Accepting new patients
Florida Institute of Pain Medicine LLC CurrentSince Jul 28, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Nov 18, 2024 Accepting new patients
Cep America, LLC CurrentSince Jun 21, 2023 Accepting new patients
Emergency Medical Specialists of Jacksonville CurrentSince Jul 1, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jun 1, 2020 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jun 1, 2020 Accepting new patients
Cep America LLC CurrentSince Jun 21, 2023 Accepting new patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Jul 19, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 18, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Nov 18, 2024 Accepting new patients
Shands Jacksonville Medical Center Inc PastSince Jan 12, 2025 Accepting new patients
Quality Primary Care P a Past Accepting new patients
St Vincent's Full Service Urgent Care, LLC PastSince Jul 19, 2018 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

3 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246

6488 103rd St
Ste A
Jacksonville, FL 32210
Phone (904) 450-6800

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

655 W 8th St
#1
Jacksonville, FL 32209
Phone (904) 383-1003

7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203

9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740

1658 St Vincents Way
Ste 100
Middleburg, FL 32068
Phone (904) 354-8200

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

105 Whitehall Dr
Ste 115
St Augustine, FL 32086
Phone (904) 800-7246

Interoperability endpoints

  • Direct secure messaging: vicki.teal@738454811246596.direct.elationemr.com
  • Direct secure messaging: vteal751314@direct.shands.ufl.edu

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1518457357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-296-5691",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST FL CENTER1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-5044",
            "fax_number": "904-244-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "VICKI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9270069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.