Active NPI
Jennifer Maider Stone, LM, CPM, LPN
- Midwife
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 355
- Practice address
- 1616 Jork Rd Ste 301
Jacksonville, FL 32207-2494 - Phone
- (904) 203-8559
- Fax
- (904) 592-5282
- NPI assigned
- Nov 5, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5190640 | FL | |
| Midwife | 176B00000X | 355 | FL | Primary |
Addresses
Primary practice location
1616 Jork Rd Ste 301
Jacksonville, FL 32207-2494
Mailing address
2301 Park Ave Ste 203
Orange Park, FL 32073-5558
Phone (904) 203-8559
Other practice location 1
2301 Park Ave Ste 203
Orange Park, FL 32073-5558
Phone (904) 203-8559 ext. 701
Other practice location 2
1988 Ashton St
Middleburg, FL 32068
Phone (904) 717-4994
Other practice location 3
400 E Palm Ave
Tampa, FL 33602-2717
Phone (813) 515-0825
Other practice location 4
400 E Palm Ave
Tampa, FL 33602-2717
Phone (813) 515-0825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120760300 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5190640 | FL | MD | Licensed Practical Nurse |
| 355 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Community Midwives LLC | Midwife | Current | Accepting new patients |
| Sunshine State Midwifery Services | Midwife | Past | Accepting new patients |
Locations
2301 Park Ave
Ste 203
Orange Park, FL 32073
Phone 9042038559 ext. 701
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.
-
- Midwife
- Orange Park, FL
- NPI 1376193839
-
- Midwife
- Middleburg, FL
- NPI 1508331349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1821500455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 PARK AVE STE 203",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735558",
"telephone_number": "904-203-8559",
"fax_number": "904-592-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 JORK RD STE 301",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322072494",
"telephone_number": "904-203-8559",
"fax_number": "904-592-5282"
}
],
"practiceLocations": [
{
"address_1": "2301 Park Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320735558",
"country_code": "US",
"telephone_number": "904-203-8559 x701",
"fax_number": "904-592-5282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1988 Ashton St",
"address_purpose": "LOCATION",
"city": "Middleburg",
"state": "FL",
"postal_code": "32068",
"country_code": "US",
"telephone_number": "904-717-4994",
"fax_number": "904-758-5338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E Palm Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336022717",
"country_code": "US",
"telephone_number": "813-515-0825",
"fax_number": "813-358-3865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E Palm Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336022717",
"country_code": "US",
"telephone_number": "813-515-0825",
"fax_number": "813-358-3865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STONE",
"first_name": "JENNIFER",
"middle_name": "MAIDER",
"credential": "LM, CPM, LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-05",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5190640",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120760300",
"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 Feb 12, 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.