Individual provider Active NPI

Jessica Dawn Huckaby, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1962928465
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9287409 Issued in FL
Practice address
5449 S Semoran Blvd Ste 200
Orlando, FL 32822-1778
Phone
(407) 986-3725
Fax
(407) 986-8203
NPI assigned
Aug 16, 2017
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9287409 FL Primary

Addresses

Primary practice location

5449 S Semoran Blvd Ste 200
Orlando, FL 32822-1778

Mailing address

5449 S Semoran Blvd Ste 200
Orlando, FL 32822-1778
Phone (407) 986-3725

Other names 1

  • Jessica Dawn Redman Former name

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
I20171116003020 FL Practitioner - Nurse Practitioner 7214293620 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Smyrna Beach Urgent Care, LLCGroup PAC ID 8426184128, 10 clinicians
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

1860 Renzulli Rd
New Smyrna BCH, FL 32168-1726
Phone (386) 663-3061

461 S Nova Rd
Ormond Beach, FL 32174-6138
Phone (386) 671-4337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9287409FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HN Ucc LLC CurrentSince Aug 19, 2021 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Sep 21, 2017 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jul 15, 2024 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jul 15, 2024 Accepting new patients
New Smyrna Beach Urgent Care, LLC CurrentSince Dec 20, 2023 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198

3048 S Atlantic Ave
Daytona Beach Shores, FL 32118
Phone (386) 457-8758

2090 Saxon Blvd
Deltona, FL 32725
Phone (386) 845-5452

1860 Renzulli Rd
New Smyrna Beach, FL 32168
Phone (386) 299-5658

126 S Nova Rd
Ormond Beach, FL 32174
Phone (386) 663-3061

461 S Nova Rd
Ormond Beach, FL 32174
Phone (386) 671-4337

775 W Granada Blvd
Ste 102
Ormond Beach, FL 32174
Phone (386) 672-4615

5440 S Williamson Blvd
Port Orange, FL 32128
Phone (386) 845-5451

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

Organizations & group practices 5

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1962928465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221778",
            "telephone_number": "407-986-3725",
            "fax_number": "407-986-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221778",
            "telephone_number": "407-986-3725",
            "fax_number": "407-986-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKABY",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9287409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "REDMAN",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.