Individual provider Active NPI

Angelica Solange Canizares, APRN, WHCNP-BC

  • Women's Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1679330013
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN11031355 Issued in FL
Practice address
836 Prudential Dr Ste 1202
Jacksonville, FL 32207-8339
Phone
(904) 493-5323
Fax
(866) 554-1605
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN11031355 FL Primary

Addresses

Primary practice location

836 Prudential Dr Ste 1202
Jacksonville, FL 32207-8339

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

4203 Belfort Rd Ste 335
Jacksonville, FL 32216-1469
Phone (904) 296-5688

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
I20240620002721 FL Practitioner - Nurse Practitioner 4385187111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

836 Prudential Dr
Suite 1202
Jacksonville, FL 32207-8339
Phone (904) 493-5323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC CurrentSince Sep 16, 2024 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

836 Prudential Dr
Ste 1202
Jacksonville, FL 32207
Phone (904) 208-2550

1361 13th Ave S
Ste 190
Jacksonville Beach, FL 32250
Phone (904) 247-5514

1361 13th Ave S
Ste 110
Jax Bch, FL 32250
Phone (904) 247-5514

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

850966 US Highway 17
Yulee, FL 32097
Phone (904) 321-2229

Interoperability endpoints

  • Direct secure messaging: angelica.canizares@wcfnf.eclinicaldirectplus.com
  • Direct secure messaging: angelica.canizares.1@8967.direct.athenahealth.com

Organizations & group practices 2

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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1679330013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR STE 1202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078339",
            "telephone_number": "904-493-5323",
            "fax_number": "866-554-1605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4203 Belfort Rd Ste 335",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322161469",
            "country_code": "US",
            "telephone_number": "904-296-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANIZARES",
        "first_name": "ANGELICA",
        "middle_name": "SOLANGE",
        "credential": "APRN, WHCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11031355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.