Individual provider Active NPI

Brittany Blalock, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1871933978
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9269679 Issued in FL
Practice address
3599 University Blvd S
Jacksonville, FL 32216-4252
Phone
(904) 345-7600
Fax
(904) 345-7619
NPI assigned
Jul 3, 2013
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9269679 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9269679 FL Primary
Psychiatry Physician 2084P0800X APRN9279679 FL

Addresses

Primary practice location

3599 University Blvd S
Jacksonville, FL 32216-4252

Mailing address

700 Marsh Cove LN
Ponte Vedra Beach, FL 32082-1694
Phone (904) 303-6234

Other practice location 1

700 Marsh Cove Ln
Ponte Vedra Beach, FL 32082-1694
Phone (904) 303-6234

Other practice location 2

6209 Brooks Bartram Dr Bldg 100
Jacksonville, FL 32258-5605
Phone (904) 528-3000

Other practice location 3

6210 Beach Blvd
Jacksonville, FL 32216-2706
Phone (904) 345-8101

Other practice location 4

6400 Brooks Bartram Dr
Jacksonville, FL 32258-5600
Phone (904) 809-8080

Other identifiers 2

IdentifierTypeStateIssuer
009050700MedicaidFL
003135522AMedicaidGA

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL EMR
CONNECT URL emr
CONNECT URL emr

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
I20130802000474 FL Practitioner - Nurse Practitioner 5496996456 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cimpar Consulting LLCGroup PAC ID 6507052370, 9 clinicians

Practice addresses (Care Compare)

3599 University Blvd S
Jacksonville, FL 32216-4268
Phone (904) 345-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9279679FLMDPsychiatry Physician
APRN9269679FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Psychiatry Current Accepting new patients
MCR Health, Inc. Family CurrentSince Feb 12, 2021 Accepting new patients
Balanced Wellbeing LLC Psychiatry CurrentSince Aug 1, 2021 Accepting new patients
TBJ Behavioral Center LLC Psychiatry CurrentSince Oct 10, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jul 22, 2013 Accepting new patients
MCR Health, Inc. CurrentSince Feb 12, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 22, 2013 Accepting new patients
Cimpar Consulting, LLC CurrentSince Apr 5, 2025 Accepting new patients
Mark Pierce Chiropractic Clinic Past Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600

6209 Brooks Bartram Dr
Bldg 100
Jacksonville, FL 32258
Phone (904) 528-3000

6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202

6400 Brooks Bartram Dr
Jacksonville, FL 32258
Phone (904) 667-4786

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406

Interoperability endpoints

  • Direct secure messaging: brittany.blalock@healthymind.directbygreenway.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1871933978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MARSH COVE LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821694",
            "telephone_number": "904-303-6234",
            "fax_number": "904-389-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-345-7600",
            "fax_number": "904-345-7619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Marsh Cove Ln",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320821694",
            "country_code": "US",
            "telephone_number": "904-303-6234",
            "fax_number": "904-389-1082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6209 Brooks Bartram Dr Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322585605",
            "country_code": "US",
            "telephone_number": "904-528-3000",
            "fax_number": "904-345-7284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6210 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322162706",
            "country_code": "US",
            "telephone_number": "904-345-8101",
            "fax_number": "904-345-8108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Brooks Bartram Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322585600",
            "country_code": "US",
            "telephone_number": "904-809-8080",
            "fax_number": "904-809-8081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "BRITTANY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9269679",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9269679",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "APRN9279679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009050700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003135522A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "700 Marsh Cove Ln",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320821694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emr",
            "affiliation": "N",
            "address_1": "700 Marsh Cove Ln",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320821694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emr",
            "affiliation": "N",
            "address_1": "700 Marsh Cove Ln",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320821694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.