Active NPI
Japonica Nikkitta Ferrell
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- New Port Richey, FL
National Provider Identifier
1699338129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- RN9472248
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN273705 | GA | MD | Community Health Registered Nurse |
| RN9472248 | FL | MD | Infection 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.