Individual provider Active NPI

Richard Martin Ghiotto, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1881462836
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029667 Issued in FL
Practice address
5150 Belfort Rd BLDG 400
Jacksonville, FL 32256-6026
Phone
(904) 580-4730
NPI assigned
Dec 19, 2023
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11029667 FL Primary

Addresses

Primary practice location

5150 Belfort Rd BLDG 400
Jacksonville, FL 32256-6026

Mailing address

769 Jasmine St
Atlantic Beach, FL 32233-1717
Phone (904) 525-0202

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
I20240124003625 FL Practitioner - Nurse Practitioner 9436502606 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029667FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Inc CurrentSince Apr 1, 2025 Accepting new patients
Emergency Physicians Inc CurrentSince Apr 1, 2025 Accepting new patients
Ibrahim Heart Clinic PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1590 Island Ln
Ste 73
Fleming Island, FL 32003

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

5150 Belfort Rd
Bldg 400
Jacksonville, FL 32256
Phone (904) 296-0900

319 W Call St
Ste B
Starke, FL 32091
Phone (904) 368-9102

Organizations & group practices 3

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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1881462836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 JASMINE ST",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322331717",
            "telephone_number": "904-525-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BELFORT RD BLDG 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566026",
            "telephone_number": "904-580-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIOTTO",
        "first_name": "RICHARD",
        "middle_name": "MARTIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-19",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.