Individual provider Active NPI

Hannah Gaillard Weiss, DNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1891956041
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9398113 Issued in FL
Practice address
2401 Monument Rd
Jacksonville, FL 32225-2520
Phone
(904) 420-3376
Fax
(904) 420-9286
NPI assigned
Jun 20, 2008
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 588492 CA
Family Nurse Practitioner 363LF0000X 588492 CA
Family Nurse Practitioner 363LF0000X 21197 CA
Family Nurse Practitioner 363LF0000X 9398113 FL Primary

Addresses

Primary practice location

2401 Monument Rd
Jacksonville, FL 32225-2520

Mailing address

2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337

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
I20150331002036 FL Practitioner - Nurse Practitioner 7214254242 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
588492CAMDRegistered Nurse
9398113FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC CurrentSince Mar 26, 2024 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Mar 26, 2024 Accepting new patients
Im Sulzbacher Center for the Homeless, Inc CurrentSince Apr 29, 2024 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Feb 18, 2015 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Feb 18, 2015 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Feb 18, 2015 Accepting new patients
Im Sulzbacher Center for the Homeless, Inc CurrentSince Apr 29, 2024 Accepting new patients
Solantic/South Florida, LLC CurrentSince Feb 18, 2015 Accepting new patients
Solantic of Jacksonville, LLC PastSince Aug 15, 2021 Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

611 E Adams St
Jacksonville, FL 32202
Phone (904) 359-0457

611 E Adams St
Ste 500
Jacksonville, FL 32202

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

2095 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 429-0001

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Interoperability endpoints

  • Direct secure messaging: hannah.weiss.1@21075.direct.athenahealth.com

Organizations & group practices 10

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1891956041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 MONUMENT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252520",
            "telephone_number": "904-642-0337",
            "fax_number": "904-642-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MONUMENT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252520",
            "telephone_number": "904-420-3376",
            "fax_number": "904-420-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "HANNAH",
        "middle_name": "GAILLARD",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "588492",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "588492",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9398113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.