Individual provider Active NPI

Viveca Dannette Yancey, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1699277913
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9239828 Issued in FL
Practice address
6035 Fort Caroline Rd Ste 20-1011
Jacksonville, FL 32277-1807
Phone
(904) 478-9604
Fax
(904) 295-0660
NPI assigned
Mar 2, 2018
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 APRN9239828 FL Primary
Family Nurse Practitioner 363LF0000X RN9239828 FL

Addresses

Primary practice location

6035 Fort Caroline Rd Ste 20-1011
Jacksonville, FL 32277-1807

Mailing address

6035 Fort Caroline Rd Ste 20-1011
Jacksonville, FL 32277-1807
Phone (904) 478-9604

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
I20180816000087 FL Practitioner - Nurse Practitioner 4486903952 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9239828FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jun 27, 2019 Accepting new patients
Respiratory Critical Care and Sleep Medicine Associates,Inc CurrentSince Apr 9, 2018 Accepting new patients
Yancey Medical Services CurrentSince Feb 2, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 27, 2019 Accepting new patients

Locations

1325 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 253-6910

1325 San Marco Blvd
Ste 300
Jacksonville, FL 32207
Phone (904) 202-4243

1443 San Marco Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 253-6910

6035 Fort Caroline Rd
Ste 201011
Jacksonville, FL 32277
Phone (904) 478-9604

653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1699277913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 FORT CAROLINE RD STE 20-1011",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771807",
            "telephone_number": "904-478-9604",
            "fax_number": "904-295-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 FORT CAROLINE RD STE 20-1011",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771807",
            "telephone_number": "904-478-9604",
            "fax_number": "904-295-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "VIVECA",
        "middle_name": "DANNETTE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9239828",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9239828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.