Individual provider Active NPI

Jan Ellen Kepler, ARNP

  • Advanced Practice Midwife
  • Jacksonville, FL
National Provider Identifier
1851583413
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP 9204450 Issued in FL
Practice address
11701 San Jose Blvd
Suite 114
Jacksonville, FL 32223-0756
Phone
(904) 288-6910
Fax
(904) 288-6916
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP 9204450 FL Primary

Addresses

Primary practice location

11701 San Jose Blvd
Suite 114
Jacksonville, FL 32223-0756

Mailing address

11701 San Jose Blvd
Suite 114
Jacksonville, FL 32223-0756
Phone (904) 288-6910

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

LicenseStateTypeSpecialty
ARNP 9204450FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare PA Past Accepting new patients
Florida Woman Care, LLC PastSince Jun 1, 2012 Accepting new patients
Planned Parenthood of North Florida, Inc. Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1851583413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 SAN JOSE BLVD",
            "address_2": "SUITE 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322230756",
            "telephone_number": "904-288-6910",
            "fax_number": "904-288-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 SAN JOSE BLVD",
            "address_2": "SUITE 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322230756",
            "telephone_number": "904-288-6910",
            "fax_number": "904-288-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPLER",
        "first_name": "JAN",
        "middle_name": "ELLEN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP 9204450",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 16, 2007; 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.