Individual provider Active NPI

Joda Kim Picard, APRN

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1801431283
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004953 Issued in FL
Practice address
4945 SW 49TH PL
Ocala, FL 34474-9673
Phone
(352) 237-9430
Fax
(352) 237-9698
NPI assigned
Nov 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 APRN11004953 FL Primary

Addresses

Primary practice location

4945 SW 49TH PL
Ocala, FL 34474-9673

Mailing address

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216
Phone (239) 274-8200

Other practice location 1

1630 SE 18th St
Building 600, Ste 602
Ocala, FL 34471-5472
Phone (352) 369-0181

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
I20200214001087 FL Practitioner - Nurse Practitioner 0042646895 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004953FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC CurrentSince Feb 1, 2021 Accepting new patients
Paragon Emergency Services LLC CurrentSince Feb 1, 2021 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince May 17, 2021 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

1630 SE 18th St
Ste 602
Ocala, FL 34471
Phone (352) 369-0181

4945 SW 49th Pl
Ocala, FL 34474
Phone (352) 237-9430

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1801431283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 VERONICA S SHOEMAKER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 SW 49TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344749673",
            "telephone_number": "352-237-9430",
            "fax_number": "352-237-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 SE 18th St",
            "address_2": "Building 600, Ste 602",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344715472",
            "country_code": "US",
            "telephone_number": "352-369-0181",
            "fax_number": "352-369-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICARD",
        "first_name": "JODA",
        "middle_name": "KIM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.