Active NPI
Jacine Yael Vilches, DNP, FNP-BC, NP-C
- Psychiatry Physician
- Jacksonville, FL
National Provider Identifier
1700369436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- RN2329566
- Practice address
- 10435 Midtown Pkwy Unit 406
Jacksonville, FL 32246-7475 - Phone
- (617) 372-1533
- NPI assigned
- Sep 10, 2018
- Last updated
- Apr 30, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9337459 | FL | |
| Family Medicine Physician | 207Q00000X | ARNP9337459 | FL | |
| Adult Medicine Physician | 207QA0505X | ARNP9337459 | FL | |
| Psychiatry Physician | 2084P0800X | RN2329566 | MA | Primary |
Addresses
Primary practice location
10435 Midtown Pkwy Unit 406
Jacksonville, FL 32246-7475
Mailing address
10435 Midtown Pkwy Unit 406
Jacksonville, FL 32246-7475
Other practice location 1
287 Beacon St Apt 5R
Boston, MA 02116-1262
Phone (617) 855-5345
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9337459 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682812800000",
"number": "1700369436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10435 MIDTOWN PKWY UNIT 406",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322467475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10435 MIDTOWN PKWY UNIT 406",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322467475",
"telephone_number": "617-372-1533"
}
],
"practiceLocations": [
{
"address_1": "287 Beacon St Apt 5R",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021161262",
"country_code": "US",
"telephone_number": "617-855-5345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILCHES",
"first_name": "JACINE",
"middle_name": "YAEL",
"credential": "DNP, FNP-BC, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2023-04-30",
"certification_date": "2023-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9337459",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ARNP9337459",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ARNP9337459",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "RN2329566",
"primary": true
}
],
"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 Apr 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.