Active NPI
Meghan Walsh Bishop, ARNP
- Pediatric Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1821385030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP9219966
- Practice address
- 1633 Race Track Rd
Suite 103
Jacksonville, FL 32259-3234 - Phone
- (904) 287-7000
- Fax
- (904) 460-2212
- NPI assigned
- Jul 8, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9219966 | FL | Primary |
Addresses
Primary practice location
1633 Race Track Rd
Suite 103
Jacksonville, FL 32259-3234
Mailing address
1102 A1A N
Unit 104
Ponte Vedra Beach, FL 32082-4098
Phone (904) 273-6533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821385030 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9219966 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Center LTD | Past | Accepting new patients | |
| Pratt Medical Center LTD | Past | Accepting new patients | |
| Privia Medical Group Florida, LLC | Past | Accepting new patients |
Interoperability endpoints
- meghan.bishop.1@8042.direct.athenahealth.com
- meghanbishoparnp@aakf.allscriptsdirect.net
Organizations & group practices 3
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Clinical Medical Laboratory
- Fredericksburg, VA
- NPI 1003840950
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1316973555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1821385030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 A1A N",
"address_2": "UNIT 104",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320824098",
"telephone_number": "904-273-6533",
"fax_number": "904-273-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 RACE TRACK RD",
"address_2": "SUITE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322593234",
"telephone_number": "904-287-7000",
"fax_number": "904-460-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "MEGHAN",
"middle_name": "WALSH",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9219966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821385030",
"state": "VA"
}
],
"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 Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.