Individual provider Active NPI

Josephine Belanger, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1962959700
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9169781 Issued in FL
Practice address
10881 San Jose Blvd
Jacksonville, FL 32223-6612
Phone
(904) 260-3022
Fax
(904) 260-3947
NPI assigned
Sep 9, 2016
Last updated
Sep 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9169781 FL Primary

Addresses

Primary practice location

10881 San Jose Blvd
Jacksonville, FL 32223-6612

Mailing address

10881 San Jose Blvd
Jacksonville, FL 32223-6612
Phone (904) 260-3022

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 9169781OtherFLNURSE PRACTITIONER LICENSE

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
I20161208001630 FL Practitioner - Nurse Practitioner 6901186980 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9169781FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ackerman Cancer Center, PA CurrentSince Sep 9, 2016 Accepting new patients
Ackerman Cancer Center, PA CurrentSince Sep 9, 2016 Accepting new patients

Locations

10881 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 260-3022

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1962959700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236612",
            "telephone_number": "904-260-3022",
            "fax_number": "904-260-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10881 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236612",
            "telephone_number": "904-260-3022",
            "fax_number": "904-260-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "JOSEPHINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9169781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "ARNP 9169781",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.