Individual provider Active NPI

Bercline Dorcelus, RN, BSN

  • Administrator Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1669911418
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN9321347 Issued in FL
Practice address
1068 Arlington Rd N
Jacksonville, FL 32211-5811
Phone
(904) 503-2244
Fax
(904) 503-2284
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9321347 FL
Administrator Registered Nurse 163WA2000X RN9321347 FL Primary
Hemodialysis Registered Nurse 163WH0500X RN9321347 FL

Addresses

Primary practice location

1068 Arlington Rd N
Jacksonville, FL 32211-5811

Mailing address

14533 Fenney CT
Jacksonville, FL 32258-5120
Phone (770) 789-2157

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9321347FLMDHemodialysis Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1669911418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14533 FENNEY CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585120",
            "telephone_number": "770-789-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 ARLINGTON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115811",
            "telephone_number": "904-503-2244",
            "fax_number": "904-503-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCELUS",
        "first_name": "BERCLINE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9321347",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN9321347",
            "primary": true
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "FL",
            "license": "RN9321347",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 27, 2017; 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.