Individual provider Active NPI

Djephlie Calixte Pierre, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1972167716
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002224 Issued in FL
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

Updated by the provider on Sep 10, 2023

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 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 Other 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
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 56 clinicians

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

LicenseStateTypeSpecialty
11002224FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Foot Care and Wellness Clinic, LLC CurrentSince Jun 1, 2023 Accepting new patients
Hni Medical Services of Florida, LLC CurrentSince Jul 1, 2023 Accepting new patients
Community Rehabilitation Center Inc CurrentSince Feb 16, 2022 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Aug 18, 2025 Accepting new patients
Community Rehabilitation Center, Inc. CurrentSince Feb 16, 2022 Accepting new patients
Clay County Podiatry Associates PA PastSince Jun 1, 2023 Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 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

  • FHIR API: https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.