Active NPI
Anna Ruth-Mildred New
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110750
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4222 - Phone
- (904) 702-6089
- NPI assigned
- Jul 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9110750 | FL | Primary |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4222
Mailing address
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 702-6089
Other practice location 1
11850 Atlantic Blvd
Jacksonville, FL 32225-2918
Phone (904) 998-5001
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110750 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida, Inc | Physician Assistant | Current | Accepting new patients |
| Kindred Hospitals East, LLC | Current | Accepting new patients | |
| Black Bag Medical Inc | Current | Accepting new patients |
Locations
4320 Deerwood Lake Pkwy
Jacksonville, FL 32216
Phone (904) 620-0599
3840 Belfort Rd
Ste 102
Jacksonville, FL 32216
Phone (904) 371-4051
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1750440988
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Physician Assistant
-
- Trauma Surgery Physician
- Fort Walton Beach, FL
- NPI 1477296952
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Long Term Care Hospital
- Green Cove Springs, FL
- NPI 1134204720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1831613165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-702-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164222",
"telephone_number": "904-702-6089"
}
],
"practiceLocations": [
{
"address_1": "11850 Atlantic Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322252918",
"country_code": "US",
"telephone_number": "904-998-5001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEW",
"first_name": "ANNA",
"middle_name": "RUTH-MILDRED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- New Perspective Services, Inc
- New Perspective Therapy, LLC
- New Perspectives Therapeutic Services, LLC
- New Radiance Antiaging Institute, Inc.
- New Rulez Academy, Inc.
- Kent Christopher New, M.D.. PH.D.
- Laura Newberry, MSW
- Sherice Nicole Newberry, PHARMD
- A'Laina Newbold, LCSW
- Shelia Yvonne Newby, CERTIFIED NURSING AS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.