Individual provider Active NPI

Jessica Anne Hough, ARNP

  • Women's Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1912374489
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP9273839 Issued in FL
Practice address
1510 Riverplace Blvd
Jacksonville, FL 32207-9017
Phone
(904) 346-0050
Fax
(904) 346-0080
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP9273839 FL Primary

Addresses

Primary practice location

1510 Riverplace Blvd
Jacksonville, FL 32207-9017

Mailing address

1510 Riverplace Blvd
Jacksonville, FL 32207-9017
Phone (904) 346-0050

Other identifiers 1

IdentifierTypeStateIssuer
103564000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925003516 FL Practitioner - Nurse Practitioner 0143550616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1560 Kingsley Ave
Suite 4
Orange Park, FL 32073-9200
Phone (904) 264-1628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9273839FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Jul 23, 2019 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1510 Riverplace Blvd
Jacksonville, FL 32207
Phone (800) 807-7090

4425 Merrimac Ave
Jacksonville, FL 32210
Phone (904) 346-0050

4181 Southpoint Dr E
Ste 300
Jacksonville, FL 32216
Phone (904) 346-0050

1658 St Vincents Way
Ste 130
Middleburg, FL 32068
Phone (904) 264-1288

1560 Kingsley Ave
Ste 4
Orange Park, FL 32073
Phone (904) 264-1620

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

Interoperability endpoints

  • Direct secure messaging: jessica.hough.2@2183.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1912374489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 RIVERPLACE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079017",
            "telephone_number": "904-346-0050",
            "fax_number": "904-346-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RIVERPLACE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079017",
            "telephone_number": "904-346-0050",
            "fax_number": "904-346-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGH",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9273839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103564000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.