Individual provider Active NPI

Ivana Barnes, RN

  • Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1902612666
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9402554 Issued in FL
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

Updated by the provider on Dec 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN9402554FLMDRegistered 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.

Verify at the official NPI Registry.