Edith Carol Erickson, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9383351 Issued in FL

Practice address

41 E Duval St
Jacksonville, FL 32202-3201

Phone

(904) 399-2766

NPI assigned

Sep 20, 2006

Last updated

Oct 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIGGAA

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.

• Volunteers in Medicine Jacksonville, Inc

  • Voluntary or Charitable Agency
  • Jacksonville, FL
  • NPI 1245983568
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1609973890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 EDGE OF WOODS RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E DUVAL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023201",
            "telephone_number": "904-399-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "EDITH",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9383351",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9383351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J. Erhard, MD
• Eric M. Gabriel, M.D., P.a.
• Eric W Shultz DPM PA
• Ericka Ericka Vargas
• Alexander Christian Erickson, IDC
• Jamie Lee Erickson, MS, ATC, LAT
• John Erickson, O.D.
• Hans Olof Eriksson, MD
• Erin Doty MD PA (First Coast Neurosciences)
• Emily Erndl, MSW

• Adult Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.