Individual provider Active NPI

Felicia Jefferson

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1699124206
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
233454 Issued in FL
Practice address
6859 Lenox Ave
Jacksonville, FL 32205-6149
Phone
(904) 226-6444
Fax
(904) 647-5901
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 233454 FL Primary
Home Health Agency 251E00000X 190078 FL

Addresses

Primary practice location

6859 Lenox Ave
Jacksonville, FL 32205-6149

Mailing address

PO Box 9084
Jacksonville, FL 32208-0084
Phone (904) 379-1131

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

State licenses

LicenseStateTypeSpecialty
190078FLMDHome Health Agency
233454FLMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Health Care Home Health Current Accepting new patients
Jefferson Caregiving Services Home Health CurrentSince Jul 25, 2019 Accepting new patients

Locations

6859 Lenox Ave
Jacksonville, FL 32205
Phone (904) 226-6444

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1699124206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9084",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322080084",
            "telephone_number": "904-379-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 LENOX AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056149",
            "telephone_number": "904-226-6444",
            "fax_number": "904-647-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "FELICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "233454",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "190078",
            "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 Jul 16, 2019; 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.