Individual provider Active NPI

Barbara Jane Patterson, ARNP

  • Family Nurse Practitioner
  • St Augustine Beach, FL
National Provider Identifier
1760698104
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9173894NP Issued in FL
Practice address
1093 A1A Beach Blvd
#109 Anastasia Plaza
St Augustine Beach, FL 32080-6733
Phone
(904) 234-5322
Fax
(904) 234-5322
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9173894NP FL Primary

Addresses

Primary practice location

1093 A1A Beach Blvd
#109 Anastasia Plaza
St Augustine Beach, FL 32080-6733

Mailing address

733 Custwood Drive
St Augustine, FL 32086
Phone (904) 234-5322

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9173894NPFLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760698104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 CUSTWOOD DRIVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-234-5322",
            "fax_number": "904-797-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 A1A BEACH BLVD",
            "address_2": "#109 ANASTASIA PLAZA",
            "city": "ST AUGUSTINE BEACH",
            "state": "FL",
            "postal_code": "320806733",
            "telephone_number": "904-234-5322",
            "fax_number": "904-234-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BARBARA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9173894NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine Beach, FL

Sources for this page

Verify at the official NPI Registry.