Active NPI
Daniele Natchgela Telfort, DNP
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11022223
- Practice address
- 1 Shircliff Way
Jacksonville, FL 32204-4748 - Phone
- (904) 308-7300
- NPI assigned
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3392619 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11022223 | FL | Primary |
Addresses
Primary practice location
1 Shircliff Way
Jacksonville, FL 32204-4748
Mailing address
312 Amber Ridge Rd
Jacksonville, FL 32218-4992
Phone (954) 605-6602
Other practice location 1
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3392619 | FL | MD | Registered Nurse |
| 11022223 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients |
Locations
4203 Belfort Rd
Ste 108
Jacksonville, FL 32216
Phone (904) 450-6460
3 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
1658 St Vincents Way
Ste 210
Middleburg, FL 32068
Phone (904) 214-8161
300 Saint Elizabeth Way
Ste 140
St Johns, FL 32259
Phone (904) 691-0001
Interoperability endpoints
- daniele.telfort.1@8967.direct.athenahealth.com
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.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1881308781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 AMBER RIDGE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184992",
"telephone_number": "954-605-6602",
"fax_number": "904-602-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748",
"telephone_number": "904-308-7300"
}
],
"practiceLocations": [
{
"address_1": "4500 San Pablo Rd S",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322241865",
"country_code": "US",
"telephone_number": "904-953-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TELFORT",
"first_name": "DANIELE",
"middle_name": "NATCHGELA",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "3392619",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11022223",
"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 Apr 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.