Active NPI
Pennye Brosche Arehart, ARNP
- Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1821044140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1941382
- Practice address
- 12303 San Jose Blvd
Carespot
Jacksonville, FL 32223-2640 - Phone
- (904) 306-7386
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1941382 | FL | Primary |
Addresses
Primary practice location
12303 San Jose Blvd
Carespot
Jacksonville, FL 32223-2640
Mailing address
PO Box 600368
Jacksonville, FL 32260-0368
Phone (904) 287-4186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP 1941382 | Other | FL | FLORIDA NURSING LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solantic LLC | Past | Accepting new patients | |
| Tenet-Solantic Joint Venture LLC | Past | Accepting new patients | |
| Bethesda/Solantic Joint Venture, LLC | Past | Accepting new patients | |
| Rmed LLC | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1730329038
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1205476793
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1609822592
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1104159755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1821044140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 600368",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322600368",
"telephone_number": "904-287-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12303 SAN JOSE BLVD",
"address_2": "CARESPOT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232640",
"telephone_number": "904-306-7386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AREHART",
"first_name": "PENNYE",
"middle_name": "BROSCHE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1941382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA NURSING LICENSE",
"identifier": "ARNP 1941382",
"state": "FL"
}
],
"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 Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.