Aszloyn Nikita Wakefield, ED.S.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12280 Sumter Square Dr W
Jacksonville, FL 32218-6125

Phone

(904) 622-8684

Fax

(904) 765-0011

NPI assigned

Aug 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family First Solution Community Development Corp

  • In Home Supportive Care Agency
  • Jacksonville, FL
  • NPI 1114403185
  NPD (past) Authorized official

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1760937155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12280 SUMTER SQUARE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186125",
            "telephone_number": "904-622-8684",
            "fax_number": "904-765-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12280 SUMTER SQUARE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186125",
            "telephone_number": "904-622-8684",
            "fax_number": "904-765-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8428 New Kings Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322194603",
            "country_code": "US",
            "telephone_number": "904-622-8684",
            "fax_number": "904-765-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "ASZLOYN",
        "middle_name": "NIKITA",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R Wainwright, MD
• Brian Michael Waite, MSPT
• Zachary James Waite
• Vanessa K Waked, PA-C
• Alan Todd Wakefield, D.D.S.
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Case Manager/Care Coordinator in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.