NPIMap

Individual provider Active NPI

Justin Walter Harrington, APRN FNP-C

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1699399279
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007280 Issued in FL
Practice address
6160 SW State Road 200 # 119
Ocala, FL 34476-8307
Phone
(352) 233-4178
NPI assigned
May 30, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007280 FL Primary

Addresses

Primary practice location

6160 SW State Road 200 # 119
Ocala, FL 34476-8307

Mailing address

483 SE 42ND St
Keystone Heights, FL 32656-6247
Phone (352) 473-8985

Other practice location 1

483 SE 42nd St
Keystone Heights, FL 32656-6247
Phone (352) 258-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111000680 FL Practitioner - Nurse Practitioner 2365852969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Starke Family Medical Center IncGroup PAC ID 0143207704, 13 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

100 S Lawrence Blvd
Keystone Heights, FL 32656-9215
Phone (352) 473-9373

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007280FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starke Family Medical Center Inc CurrentSince May 3, 2022 Accepting new patients

Locations

100 S Lawrence Blvd
Keystone Hgts, FL 32656
Phone (352) 473-9373

345 W Madison St
Starke, FL 32091
Phone (904) 964-5455

Interoperability endpoints

  • Direct secure messaging: justin.harrington.1@16275.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1699399279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 SE 42ND ST",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326566247",
            "telephone_number": "352-473-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SW STATE ROAD 200 # 119",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768307",
            "telephone_number": "352-233-4178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 SE 42nd St",
            "address_purpose": "LOCATION",
            "city": "Keystone Heights",
            "state": "FL",
            "postal_code": "326566247",
            "country_code": "US",
            "telephone_number": "352-258-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "JUSTIN",
        "middle_name": "WALTER",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.