Active NPI
April Marie Jackson, ARNP
- Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1861864951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9300760
- Practice address
- 29277 US Highway 19 N
Clearwater, FL 33761-2102 - Phone
- (713) 779-9800
- Fax
- (713) 779-9813
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | ARNP9300760 | FL | |
| Surgical Physician Assistant | 363AS0400X | ARNP9300760 | FL | |
| Nurse Practitioner | 363L00000X | APRN9300760 | FL | Primary |
Addresses
Primary practice location
29277 US Highway 19 N
Clearwater, FL 33761-2102
Mailing address
7324 SW Freeway, Suite 1550
Houston, TX 77074
Phone (713) 779-9800
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180801003629 | FL | Practitioner - Nurse Practitioner | 9537417985 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9300760 | FL | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Sa Services | Past | Accepting new patients | |
| Sunshine Surgical Assist Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Specialist
- Clearwater, FL
- NPI 1568090975
-
- Specialist
- Houston, TX
- NPI 1033382668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1861864951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7324 SW FREEWAY, SUITE 1550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77074",
"telephone_number": "713-779-9800",
"fax_number": "713-779-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29277 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612102",
"telephone_number": "713-779-9800",
"fax_number": "713-779-9813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "APRIL",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "ARNP9300760",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "ARNP9300760",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9300760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.