Individual provider Active NPI

Jane L Block, ARNP

  • Adult Health Nurse Practitioner
  • Weeki Wachee, FL
National Provider Identifier
1750398608
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 3147382 Issued in FL
Practice address
10081 Cortez Blvd
Weeki Wachee, FL 34613-6378
Phone
(352) 596-4660
Fax
(352) 596-4674
NPI assigned
Aug 2, 2006
Last updated
Jun 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 3147382 FL Primary

Addresses

Primary practice location

10081 Cortez Blvd
Weeki Wachee, FL 34613-6378

Mailing address

10065 Cortez Blvd
Weeki Wachee, FL 34613-6389
Phone (352) 596-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000505 FL Practitioner - Nurse Practitioner 9739289844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 3147382FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Idicula Medical Associates MD PA CurrentSince May 26, 2015 Accepting new patients
St Luke Heart Institute Inc PastSince May 26, 2015 Accepting new patients

Locations

10065 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-1229

10081 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIBAA
  • Direct secure messaging: jane.block@imamp.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1750398608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136389",
            "telephone_number": "352-596-4660",
            "fax_number": "352-596-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10081 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136378",
            "telephone_number": "352-596-4660",
            "fax_number": "352-596-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "JANE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 3147382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.