Active NPI
Ivana Barnes, RN
- Registered Nurse
- Jacksonville, FL
National Provider Identifier
1902612666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9402554
- Practice address
- 11842 Carson Lake Dr W
Jacksonville, FL 32221-3881 - Phone
- (904) 760-7032
- NPI assigned
- Dec 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9402554 | FL | Primary |
Addresses
Primary practice location
11842 Carson Lake Dr W
Jacksonville, FL 32221-3881
Mailing address
11842 Carson Lake Dr W
Jacksonville, FL 32221-3881
Phone (904) 760-7032
Other practice location 1
351 W 60th St
Jacksonville, FL 32208-4507
Phone (904) 760-7032
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9402554 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733529600000",
"number": "1902612666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11842 CARSON LAKE DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322213881",
"telephone_number": "904-760-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11842 CARSON LAKE DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322213881",
"telephone_number": "904-760-7032"
}
],
"practiceLocations": [
{
"address_1": "351 W 60th St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322084507",
"country_code": "US",
"telephone_number": "904-760-7032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARNES",
"first_name": "IVANA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-07",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9402554",
"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 Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.