Active NPI
Djephlie Calixte Pierre, FNP
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11002224
- Practice address
- 1100 Cesery Blvd
Jacksonville, FL 32211-5674 - Phone
- (904) 416-7273
- NPI assigned
- Apr 26, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11002224 | FL | Primary |
Addresses
Primary practice location
1100 Cesery Blvd
Jacksonville, FL 32211-5674
Mailing address
6767 Summit Vista CT
Jacksonville, FL 32259-7046
Phone (904) 416-7273
Other names 1
- Djephlie Calixte Pierre
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220617000445 | FL | Practitioner - Nurse Practitioner | 8628457884 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Solantic of Jacksonville LLC
Practice addresses (Care Compare)
12303 San Jose Blvd
Jacksonville, FL 32223-2640
Phone (615) 600-4074
2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337
410 Atlantic Blvd
Neptune Beach, FL 32266-4022
Phone (615) 600-4074
463941 Sr
200 Carespot Express Healthcare
Yulee, FL 32097-6342
Phone (615) 600-4074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002224 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Foot Care and Wellness Clinic, LLC | Current | Accepting new patients | |
| Hni Medical Services of Florida, LLC | Current | Accepting new patients | |
| Community Rehabilitation Center Inc | Current | Accepting new patients | |
| Solantic of Jacksonville, LLC | Current | Accepting new patients | |
| Community Rehabilitation Center, Inc. | Current | Accepting new patients | |
| Clay County Podiatry Associates PA | Past | Accepting new patients | |
| Solantic of Jacksonville, LLC | Past | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620
8021 Philips Hwy
Ste 1
Jacksonville, FL 32256
Phone (904) 323-0954
623 Beechwood St
Jacksonville, FL 32206
Phone (904) 358-1211
2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337
430 College Dr
Ste 115
Middleburg, FL 32068
Phone (904) 291-4885
2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959
Interoperability endpoints
- https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/AFJGBD
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1770868010
-
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
- NPI 1578938684
-
- Podiatrist
- Middleburg, FL
- NPI 1033559257
-
- Urgent Care Clinic/Center
- Yulee, FL
- NPI 1902574635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694304000000",
"number": "1972167716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 SUMMIT VISTA CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322597046",
"telephone_number": "904-416-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CESERY BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115674",
"telephone_number": "904-416-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRE",
"first_name": "DJEPHLIE",
"middle_name": "CALIXTE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-26",
"last_updated": "2023-09-10",
"certification_date": "2023-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11002224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DJEPHLIE",
"last_name": "PIERRE",
"middle_name": "CALIXTE",
"credential": "FNP-BC",
"code": "5",
"type": "Other 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 Sep 10, 2023; 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.