Naw-Am Acio Daniels

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9113592 Issued in FL

Practice address

3300 Atlantic Blvd
Jacksonville, FL 32207-8904

Phone

(904) 755-4964

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1861002123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 VILLAGE OAKS DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593876",
            "telephone_number": "904-240-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078904",
            "telephone_number": "904-755-4964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Village Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322593876",
            "country_code": "US",
            "telephone_number": "904-240-0442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "Cross City",
            "state": "FL",
            "postal_code": "326283558",
            "country_code": "US",
            "telephone_number": "352-498-3363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "NAW-AM",
        "middle_name": "ACIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2023-08-02",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "9113592",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9113592",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "FL",
            "license": "9113592",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9113592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386963932",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Jo Daniels, ARNP
• Kayla M Daniels
• Markedia Louise Daniels, ADP
• Melissa Daniels, MASSAGE THERAPIST
• Michelle Daniels, ARNP
• Necole D Daniels
• Patience Anabel Daniels
• Shada A Daniels
• Stephanie Daniels, DNP CRNA
• Tameeka Diane Daniels

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.