Active NPI
Nancy Poole
- Nurse Practitioner
- Gainesville, FL
National Provider Identifier
1881706786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AN682502
- Practice address
- 224 SE 24TH St
Achd
Gainesville, FL 32641 - Phone
- (352) 334-7900
- Fax
- (352) 334-7937
- NPI assigned
- Aug 31, 2006
- 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 | 682502 | FL | |
| Nurse Practitioner | 363L00000X | AN682502 | FL | Primary |
Addresses
Primary practice location
224 SE 24TH St
Achd
Gainesville, FL 32641
Mailing address
PO Box 1327
224 SE 24TH St
Gainesville, FL 33602
Phone (352) 334-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305575200 | 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 |
|---|---|---|---|
| 682502 | FL | MD | Registered Nurse |
| AN682502 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Lake City, FL
- NPI 1154394922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1881706786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1327",
"address_2": "224 SE 24TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "33602",
"telephone_number": "352-334-7900",
"fax_number": "352-334-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 SE 24TH ST",
"address_2": "ACHD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32641",
"telephone_number": "352-334-7900",
"fax_number": "352-334-7937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "682502",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "AN682502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305575200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.