Active NPI
Jessica Anne Hough, ARNP
- Women's Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- ARNP9273839
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103564000 | Medicaid | FL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9273839 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Current | 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
- 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.
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- NPI 1386823243
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- Orlando, FL
- NPI 1366529042
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.