Individual provider Active NPI

Jennifer Maider Stone, LM, CPM, LPN

  • Midwife
  • Jacksonville, FL
National Provider Identifier
1821500455
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
355 Issued in FL
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

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
120760300MedicaidFL

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

LicenseStateTypeSpecialty
PN5190640FLMDLicensed Practical Nurse
355FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Community Midwives LLC Midwife CurrentSince Aug 1, 2020 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.

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.

Verify at the official NPI Registry.