Active NPI
Sharonda R. Hussey
- Child Intellectual and/or Developmental Disabilities Respite Care
- Jacksonville, FL
National Provider Identifier
1558736587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- SHARONDA R. HUSSEY
- Practice address
- 11501 Brian Lakes Dr
Jacksonville, FL 32221-2849 - Phone
- (904) 229-1884
- NPI assigned
- Dec 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharonda Hussey
- Title
- Provider
- Phone
- (904) 229-1884
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | FL | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | FL | Primary |
Addresses
Primary practice location
11501 Brian Lakes Dr
Jacksonville, FL 32221-2849
Mailing address
11501 Brian Lakes Dr
Jacksonville, FL 32221-2849
Phone (904) 229-1884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015805400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Respiratory Therapist
- Jacksonville, FL
- NPI 1164899308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449014400000",
"number": "1558736587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11501 BRIAN LAKES DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322212849",
"telephone_number": "904-229-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 BRIAN LAKES DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322212849",
"telephone_number": "904-229-1884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARONDA R. HUSSEY",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A",
"authorized_official_last_name": "HUSSEY",
"authorized_official_first_name": "SHARONDA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "904-229-1884",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015805400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.