Individual provider Active NPI

Frances S Nettleton, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1841777588
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9342860 Issued in FL
Practice address
6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286
Phone
(904) 256-9202
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9342860 FL Primary

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286

Mailing address

300 Health Park Blvd.
Suite 1006- Baker-Gilmour Cardiovascular
St. Agustine, FL 32086
Phone (904) 794-7050

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9342860OtherSTATE LICENSE

Other names 1

  • Frances S Tanner Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181112001507 FL Practitioner - Nurse Practitioner 1658625512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Vision LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

Organizations & group practices 1

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1841777588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD.",
            "address_2": "SUITE 1006- BAKER-GILMOUR CARDIOVASCULAR",
            "city": "ST. AGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-794-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166286",
            "telephone_number": "904-256-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLETON",
        "first_name": "FRANCES",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9342860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ARNP9342860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "TANNER",
            "middle_name": "S",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.