Individual provider Active NPI

Lisa H. Jacquet, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1902954407
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016071 Issued in FL
Practice address
1 Unf Dr BLDG 39a
Jacksonville, FL 32224-7699
Phone
(904) 620-2900
NPI assigned
Jan 8, 2007
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
APRN11016071FLMDFamily Nurse Practitioner
APRN - 1624HIMDFamily Nurse Practitioner
AP30007844WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joyce Luteyn, M.D. PLLC Past Accepting new patients
University of North Florida Student Medical Service PastSince Jun 26, 2022 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.

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.

Verify at the official NPI Registry.