Individual provider Active NPI

Nicole Parr, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1639649841
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9291011 Issued in FL
Practice address
3599 University Blvd S Ste 104
Jacksonville, FL 32216-4200
Phone
(904) 724-5000
NPI assigned
Nov 30, 2018
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 ARNP9291011 FL Primary
Cardiovascular Disease Physician 207RC0000X 9291011 FL

Addresses

Primary practice location

3599 University Blvd S Ste 104
Jacksonville, FL 32216-4200

Mailing address

2844 Post St
Jacksonville, FL 32205-7414
Phone (305) 319-0336

Other practice location 1

1824 King St Ste 300
Jacksonville, FL 32204-4736
Phone (904) 388-1820

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
I20190108002700 FL Practitioner - Nurse Practitioner 3476899725 Reassigns benefits to 2 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
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1824 King St
Suite 300
Jacksonville, FL 32204-4736
Phone (904) 388-1820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9291011FLMDCardiovascular Disease Physician
ARNP9291011FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
St Vincents Ambulatory Care Inc Single Specialty CurrentSince Feb 8, 2021 Accepting new patients
Rmed LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Feb 8, 2021 Accepting new patients

Locations

1824 King St
Ste 300
Jacksonville, FL 32204
Phone (904) 381-9393

4205 Belfort Rd
Ste 2069
Jacksonville, FL 32216
Phone (904) 296-0278

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Interoperability endpoints

  • Direct secure messaging: nicole.parr.1@8967.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1639649841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 POST ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057414",
            "telephone_number": "305-319-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164200",
            "telephone_number": "904-724-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 King St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044736",
            "country_code": "US",
            "telephone_number": "904-388-1820",
            "fax_number": "904-388-1827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARR",
        "first_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9291011",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "9291011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.