Individual provider Active NPI

Rhonna Suanes Clary, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1619396595
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9329646 Issued in FL
Practice address
906 Blanding Blvd
Orange Park, FL 32065-6206
Phone
(904) 213-4444
NPI assigned
Apr 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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 ARNP 9329646 FL Primary

Addresses

Primary practice location

906 Blanding Blvd
Orange Park, FL 32065-6206

Mailing address

1357 Woodlawn Dr
Orange Park, FL 32065-5233
Phone (775) 313-1797

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
I20140521001459 FL Practitioner - Nurse Practitioner 1153544010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

1 CVS Drive- MC
Suite 3040
Woonsocket, RI 02895-6146

120 Saint Johns Commons Rd
Jacksonville, FL 32259-4057
Phone (866) 389-2727

121 W Macclenny Ave
Macclenny, FL 32063-2029
Phone (866) 389-2727

2703 N Ponce de Leon Blvd
Saint Augustine, FL 32084-2603
Phone (866) 389-2727

3634 Rogero Rd
Jacksonville, FL 32277-2556
Phone (866) 389-2727

4280 Southside Blvd
Jacksonville, FL 32216-5400
Phone (866) 389-2727

430 State Rd
Suite 13
Jacksonville, FL 32259-2835
Phone (866) 389-2727

4354 NW 23Rd Ave
Gainesville, FL 32606-6541
Phone (866) 389-2727

4475 San Juan Ave
Jacksonville, FL 32210-3357
Phone (866) 389-2727

50 Duval Station Rd
Jacksonville, FL 32218-6801
Phone (866) 389-2727

7599 W Sand Lake Rd
Orlando, FL 32819-5109
Phone (866) 389-2727

906 Blanding Blvd
Orange Park, FL 32065-6206
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9329646FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Apr 28, 2014 Accepting new patients

Locations

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

906 Blanding Blvd
Orange Park, FL 32065
Phone (904) 213-4444

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1619396595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 WOODLAWN DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655233",
            "telephone_number": "775-313-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656206",
            "telephone_number": "904-213-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "RHONNA",
        "middle_name": "SUANES",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9329646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.