Active NPI
Lisa H. Jacquet, ARNP
- Family Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1902954407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11016071
- Practice address
- 1 Unf Dr BLDG 39a
Jacksonville, FL 32224-7699 - Phone
- (904) 620-2900
- NPI assigned
- Jan 8, 2007
- Last updated
- Jun 20, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11016071 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN - 1624 | HI | |
| Family Nurse Practitioner | 363LF0000X | AP30007844 | WA |
Addresses
Primary practice location
1 Unf Dr BLDG 39a
Jacksonville, FL 32224-7699
Mailing address
1 Unf Dr BLDG 39a
Jacksonville, FL 32224-7699
Phone (904) 620-2900
Other names 1
- Miss Lisa H. Hopper
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 |
|---|---|---|---|
| APRN11016071 | FL | MD | Family Nurse Practitioner |
| APRN - 1624 | HI | MD | Family Nurse Practitioner |
| AP30007844 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyce Luteyn, M.D. PLLC | Past | Accepting new patients | |
| University of North Florida Student Medical Service | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Student Health Clinic/Center
- Jacksonville, FL
- NPI 1730418641
-
- Specialist
- Olympia, WA
- NPI 1437337854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1902954407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNF DR BLDG 39A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322247699",
"telephone_number": "904-620-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNF DR BLDG 39A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322247699",
"telephone_number": "904-620-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACQUET",
"first_name": "LISA",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11016071",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN - 1624",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "HOPPER",
"middle_name": "H.",
"prefix": "MISS",
"credential": "MSA",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.