Active NPI
Marjorie Teate Pound, ARNP
- Family Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1669603197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP2887702
- Practice address
- 3122 New Berlin Rd
Ufjax - Dept. of Family Medicine
Jacksonville, FL 32226-1828 - Phone
- (904) 633-0340
- Fax
- (904) 633-0341
- NPI assigned
- Jul 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP2887702 | FL | Primary |
Addresses
Primary practice location
3122 New Berlin Rd
Ufjax - Dept. of Family Medicine
Jacksonville, FL 32226-1828
Mailing address
PO Box 44008
Ufjp - Provider Enrollment
Jacksonville, FL 32231-4008
Phone (904) 244-3199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013209-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2887702 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1669603197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"address_2": "UFJP - PROVIDER ENROLLMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-3199",
"fax_number": "904-244-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3122 NEW BERLIN RD",
"address_2": "UFJAX - DEPT. OF FAMILY MEDICINE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322261828",
"telephone_number": "904-633-0340",
"fax_number": "904-633-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUND",
"first_name": "MARJORIE",
"middle_name": "TEATE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP2887702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013209-00",
"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 Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.