Active NPI
Rosalind Ann Heller-Slevin, ARNP
- Adult Health Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1871509810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 735882
- Practice address
- 12058 San Jose Blvd
Suite1003
Jacksonville, FL 32223-8666 - Phone
- (904) 880-6728
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 735882 | FL | Primary |
Addresses
Primary practice location
12058 San Jose Blvd
Suite1003
Jacksonville, FL 32223-8666
Mailing address
3762 N Ride Dr
Jacksonville, FL 32223-7493
Phone (904) 262-6753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303228100 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 735882 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Coast Primary Care Inc | Past | Accepting new patients | |
| Advanced Wound Systems LLC | Past | Accepting new patients | |
| Apex House Call Doctors LLC | Past | Accepting new patients | |
| Nautilus Health Care Group, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
-
- Adult Medicine Physician
- Jacksonville, FL
- NPI 1841241015
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1528197993
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1871509810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3762 N RIDE DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322237493",
"telephone_number": "904-262-6753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12058 SAN JOSE BLVD",
"address_2": "SUITE1003",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238666",
"telephone_number": "904-880-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER-SLEVIN",
"first_name": "ROSALIND",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "735882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303228100",
"state": "FL"
}
],
"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 Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.