Individual provider Active NPI

Japonica Nikkitta Ferrell

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • New Port Richey, FL
National Provider Identifier
1699338129
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
RN9472248 Issued in FL
Practice address
11703 Sweet Serenity LN Unit 204
New Port Richey, FL 34654-4565
Phone
(863) 308-6685
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN273705 GA
Community Health Registered Nurse 163WC1500X RN273705 GA
Infection Control Registered Nurse 163WI0600X RN9472248 FL
Lactation Consultant (Registered Nurse) 163WL0100X RN273705 GA
School Registered Nurse 163WS0200X RN9472248 FL
High-Risk Obstetric Registered Nurse 163WX0002X RN9472248 FL
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN9472248 FL Primary

Addresses

Primary practice location

11703 Sweet Serenity LN Unit 204
New Port Richey, FL 34654-4565

Mailing address

11703 Sweet Serenity LN Unit 204
New Port Richey, FL 34654-4565
Phone (863) 308-6685

Other practice location 1

6668 Mount Zion Blvd Apt B17
Morrow, GA 30260-2840
Phone (863) 308-6685

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
RN273705GAMDCommunity Health Registered Nurse
RN9472248FLMDInfection Control Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1699338129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11703 SWEET SERENITY LN UNIT 204",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346544565",
            "telephone_number": "863-308-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11703 SWEET SERENITY LN UNIT 204",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346544565",
            "telephone_number": "863-308-6685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6668 Mount Zion Blvd Apt B17",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "GA",
            "postal_code": "302602840",
            "country_code": "US",
            "telephone_number": "863-308-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "JAPONICA",
        "middle_name": "NIKKITTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN273705",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN273705",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "FL",
            "license": "RN9472248",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "RN273705",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "FL",
            "license": "RN9472248",
            "primary": false
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "FL",
            "license": "RN9472248",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "FL",
            "license": "RN9472248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.