Britt Christine Ahlberg Donovan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101065 Issued in FL

Practice address

800 Prudential Dr
Suite 204
Jacksonville, FL 32207-8202

Phone

(904) 476-5613

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Britt Christine Ahlberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1902331473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 RUSTY RAIL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255527",
            "telephone_number": "904-476-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-476-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "BRITT",
        "middle_name": "CHRISTINE AHLBERG",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITT",
            "last_name": "AHLBERG",
            "middle_name": "CHRISTINE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marjorie Marie Donnelly, ARNP
• Emily Danielle Donoghue, MS, CCC-SLP
• Jessica White Donohue, DNP, PMHNP-BC
• Michael Donohue, MD
• Kristin Donor, ARNP
• Kevin L Donovan, MD
• Vaishali B Doolabh, MD
• Bently Patrick Doonan, M.D.
• Door to Door Quality Transportation Corp
• Daniel Clayton Doornbos, MD

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.