Individual provider Active NPI

Jacine Yael Vilches, DNP, FNP-BC, NP-C

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1700369436
Registry record updated Apr 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
RN2329566 Issued in MA
Practice address
10435 Midtown Pkwy Unit 406
Jacksonville, FL 32246-7475
Phone
(617) 372-1533
NPI assigned
Sep 10, 2018
Last updated
Apr 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ARNP9337459FLMDFamily 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.

Verify at the official NPI Registry.