Individual provider Active NPI

Elizabeth Reagan Thomas, APRN

  • Women's Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1780828111
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP9285961 Issued in FL
Practice address
3 Shircliff Way Ste 200
Jacksonville, FL 32204-4785
Phone
(904) 384-3699
Fax
(904) 384-8529
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP9285961 FL
Women's Health Nurse Practitioner 363LW0102X ARNP9285961 FL Primary

Addresses

Primary practice location

3 Shircliff Way Ste 200
Jacksonville, FL 32204-4785

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other practice location 1

12110 San Jose Blvd
Jacksonville, FL 32223-2637
Phone (904) 208-2550

Other practice location 2

836 Prudential Dr Ste 1202
Jacksonville, FL 32207-8339
Phone (904) 399-4862

Other identifiers 1

IdentifierTypeStateIssuer
000838800MedicaidFL

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
I20090701000247 FL Practitioner - Nurse Practitioner 1254482342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

1232 King St
Jacksonville, FL 32204-4212
Phone (904) 821-7556

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9285961FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC CurrentSince Mar 1, 2019 Accepting new patients
Women'S Care Florida LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

12110 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 208-2550

9404 Waypoint Pl
Jacksonville, FL 32257
Phone (904) 260-2255

3 Shircliff Way
Ste 200
Jacksonville, FL 32204
Phone (904) 308-6463

1232 King St
Jacksonville, FL 32204
Phone (904) 384-3699

2363 Dunn Ave
Ste 23631
Jacksonville, FL 32218
Phone (904) 757-2234

2363 Dunn Ave
Ste 2363
Jacksonville, FL 32218

2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704

836 Prudential Dr
Ste 1202
Jacksonville, FL 32207
Phone (904) 208-2550

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

5002 W Lemon St
Tampa, FL 33609

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: elizabeth.thomas@wcfnf.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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1780828111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044785",
            "telephone_number": "904-384-3699",
            "fax_number": "904-384-8529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12110 San Jose Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322232637",
            "country_code": "US",
            "telephone_number": "904-208-2550",
            "fax_number": "904-346-5410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Prudential Dr Ste 1202",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078339",
            "country_code": "US",
            "telephone_number": "904-399-4862",
            "fax_number": "904-346-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ELIZABETH",
        "middle_name": "REAGAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9285961",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9285961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000838800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.