Active NPI
Julianne Mammana
- Peer Specialist
- Jacksonville, FL
National Provider Identifier
1730060823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CRPS.0101299.A
- Practice address
- 555 Stockton St
Jacksonville, FL 32204-2534 - Phone
- (904) 387-4661
- NPI assigned
- Sep 8, 2025
- Last updated
- Sep 8, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CRPS.0101299.A | FL | Primary |
Addresses
Primary practice location
555 Stockton St
Jacksonville, FL 32204-2534
Mailing address
555 Stockton St
Jacksonville, FL 32204-2534
Phone (904) 387-4661
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 |
|---|---|---|---|
| CRPS.0101299.A | FL | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1730060823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 STOCKTON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322042534",
"telephone_number": "904-387-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 STOCKTON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322042534",
"telephone_number": "904-387-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMMANA",
"first_name": "JULIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "FL",
"license": "CRPS.0101299.A",
"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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.