Individual provider Active NPI

Natasha Delane Washington, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1700385937
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9238018 Issued in FL
Practice address
1028B Dunn Ave
Jacksonville, FL 32218-4830
Phone
(904) 766-7606
NPI assigned
Feb 2, 2018
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01178200 NJ
Family Nurse Practitioner 363LF0000X GAA-NP004547 GA
Family Nurse Practitioner 363LF0000X 5021601 NC
Family Nurse Practitioner 363LF0000X 0041562 OH
Family Nurse Practitioner 363LF0000X 22686 SC
Family Nurse Practitioner 363LF0000X APRN9238018 FL Primary
Family Nurse Practitioner 363LF0000X 235046 AR
Family Nurse Practitioner 363LF0000X 10057024 OR
Family Nurse Practitioner 363LF0000X LG-0013449 DE
Family Nurse Practitioner 363LF0000X 3-002148 AL

Addresses

Primary practice location

1028B Dunn Ave
Jacksonville, FL 32218-4830

Mailing address

1028B Dunn Ave
Jacksonville, FL 32218-4830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

1028 Dunn Ave
Jacksonville, FL 32218-4830
Phone (904) 766-7606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-002148ALMDFamily Nurse Practitioner
235046ARMDFamily Nurse Practitioner
LG-0013449DEMDFamily Nurse Practitioner
APRN9238018FLMDFamily Nurse Practitioner
GAA-NP004547GAMDFamily Nurse Practitioner
5021601NCMDFamily Nurse Practitioner
26NJ01178200NJMDFamily Nurse Practitioner
0041562OHMDFamily Nurse Practitioner
10057024ORMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_nwashi36@landmarkhealth-direct.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1700385937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028B DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028B DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184830",
            "telephone_number": "904-766-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "NATASHA",
        "middle_name": "DELANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01178200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP004547",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021601",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0041562",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22686",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9238018",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "235046",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10057024",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013449",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-002148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.