Active NPI
Mark Edward Rowley, PARAMEDIC, RN, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1780851329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11028611
- Practice address
- 555 Stockton St
Jacksonville, FL 32204-2534 - Phone
- (904) 387-4661
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | JA15885 | FL | |
| Emergency Registered Nurse | 163WE0003X | RN9439622 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11028611 | FL | Primary |
Addresses
Primary practice location
555 Stockton St
Jacksonville, FL 32204-2534
Mailing address
12268 Mayors Dr
Jacksonville, FL 32223-2518
Phone (904) 424-2822
Other practice location 1
515 N Julia St
Jacksonville, FL 32202-4128
Phone (904) 424-2822
Other practice location 2
4200 Ocean Street
USCG Medical
Mayport, FL 32233
Phone (904) 564-7581
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JA15885 | FL | MD | Paramedic |
| RN9439622 | FL | MD | Emergency Registered Nurse |
| APRN11028611 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Community Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1356305338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1780851329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12268 MAYORS DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232518",
"telephone_number": "904-424-2822"
},
{
"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": [
{
"address_1": "515 N Julia St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322024128",
"country_code": "US",
"telephone_number": "904-424-2822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4200 Ocean Street",
"address_2": "USCG Medical",
"address_purpose": "LOCATION",
"city": "Mayport",
"state": "FL",
"postal_code": "32233",
"country_code": "US",
"telephone_number": "904-564-7581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROWLEY",
"first_name": "MARK",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PARAMEDIC, RN, APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "FL",
"license": "JA15885",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "FL",
"license": "RN9439622",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11028611",
"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 Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.