Individual provider Active NPI

Richard Todd Owens, ARNP

  • Family Nurse Practitioner
  • Saint Augustine, FL
National Provider Identifier
1639330467
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2522672 Issued in FL
Practice address
110 Health Park Blvd
Saint Augustine, FL 32086-5776
Phone
(904) 823-3401
Fax
(904) 829-8649
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN2522672 FL
Family Nurse Practitioner 363LF0000X ARNP2522672 FL Primary

Addresses

Primary practice location

110 Health Park Blvd
Saint Augustine, FL 32086-5776

Mailing address

PO Box 100237
Gainesville, FL 32610-0237
Phone (352) 392-4541

Other practice location 1

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 392-4541

Other practice location 2

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

Other practice location 3

70 Turin Ter
St Augustine, FL 32092-0848
Phone (904) 819-7200

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
I20090226000217 FL Practitioner - Nurse Practitioner 6406912583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

110 Health Park Blvd
Saint Augustine, FL 32086-5776
Phone (904) 823-3401

70 Turin Ter
Suite 100
Saint Augustine, FL 32092-0849
Phone (904) 819-1200

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2522672FLMDNurse Practitioner
ARNP2522672FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Professional Health Care Services, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Apr 1, 2025 Accepting new patients
Okeechobee Emergency Physicians Inc Past Accepting new patients

Locations

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

110 Health Park Blvd
St Augustine, FL 32086
Phone (904) 823-3401

70 Turin Ter
Ste 110
St Augustine, FL 32092
Phone (904) 819-7200

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Interoperability endpoints

  • Direct secure messaging: rowens749657@direct.shands.ufl.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1639330467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100237",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100237",
            "telephone_number": "352-392-4541",
            "fax_number": "352-294-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HEALTH PARK BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865776",
            "telephone_number": "904-823-3401",
            "fax_number": "904-829-8649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-392-4541",
            "fax_number": "352-294-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "904-819-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Turin Ter",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320920848",
            "country_code": "US",
            "telephone_number": "904-819-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "RICHARD",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2522672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2522672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.