DEPARTMENT OF VETERANS AFFAIRS (NPI# 1982686036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982686036 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS |
| Other Organization Name | VA OUTPATIENT CLINIC |
| Practice Address |
1833 Boulevard Suite A Jacksonville FL 32206-4382 |
| Practice Telephone | 9042322751 |
| Practice Fax Number | 9042321570 |
| Mailing Telephone | 9042322751 |
| Mailing Fax Number | 9042321570 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FEACHER LEROY WILLIAMS JR. (CHIEF PHARMACIST) |
| Authorized Official Telephone | 9042322751 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 12760 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| va outpatient clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124464086 | Department of Veterans Affairs | Clinic/Center | 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 | 2013-05-20 |
| 1962740662 | Department of Veterans Affairs | Military Hospital | 437 E Mohave Rd, Tucson, AZ 85705-3627 | 2013-01-30 |
| 1770839540 | Department of Veterans Affairs | Psychiatric Hospital | 2349 W Shaw Butte Dr, Phoenix, AZ 85029-3434 | 2012-07-31 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1750687414 | Department of Veterans Affairs | Clinic/Center | Casia 10, San Juan, PR 00926-0926 | 2011-01-28 |
| 1740580828 | Department of Veterans Affairs | General Acute Care Hospital | 23809 E Silsby Rd, Beachwood, OH 44122-1271 | 2010-10-23 |
| 1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
| 1033358239 | Department of Veterans Affairs | Military Hospital | 5782 W Cortaro Crossing Dr, Tucson, AZ 85742-8128 | 2009-02-11 |
| 1194976274 | Department of Veterans Affairs | Community/Behavioral Health | 3372 State Route 11, Malone, NY 12953-4712 | 2008-10-07 |
| 1053560540 | Department of Veterans Affairs | General Acute Care Hospital | 2002 Holcombe Blvd # 112c, Houston, TX 77030-4211 | 2008-09-09 |
| Street Address |
1833 BOULEVARD SUITE A |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32206-4382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740289180 | Siddiqa K Khan | Family Medicine | 1833 Boulevard, Va Outpatient Clinic, Jacksonville, FL 32206-4382 | 2005-07-19 |
| 1306322656 | Johnnie Bradley-goodman | Nurse Practitioner | 1833 Boulevard, Jacksonville, FL 32206 | 2018-07-18 |
| 1538541321 | Daniel Kwamena Korsah | Nurse Practitioner | 1833 Boulevard, 5th Floor, Jacksonville, FL 32206-4382 | 2015-06-29 |
| 1902296080 | Byron Melvin Johnson | Nurse Practitioner | 1833 Boulevard, Jacksonville, FL 32206-4382 | 2015-01-28 |
| 1932448321 | Martha Michelle Hicks | Nurse Practitioner | 1833 Boulevard, Ufjp - Chfm - Shands Total Care Clinic, Jacksonville, FL 32206-4382 | 2013-02-06 |
| 1447524012 | Tracie Claudice Rutledge | Nurse Practitioner | 1833 Boulevard, Ufjax - Total Care Clinic, Jacksonville, FL 32206-4382 | 2012-02-29 |
| 1649543232 | Monica Lynn Monahan | Psychologist | 1833 Boulevard, Jacksonville, FL 32206-4382 | 2012-02-14 |
| 1932436169 | Lionel Staplefoote | Case Manager/Care Coordinator | 1833 Boulevard, Suite 500, Jacksonville, FL 32206-4382 | 2009-11-09 |
| 1770810251 | Christina Adkins Shotwell | Psychologist | 1833 Boulevard, Jacksonville, FL 32206-4382 | 2009-11-04 |
| 1245564327 | Maria Antoun | Pharmacist | 1833 Boulevard, Jacksonville, FL 32206-4382 | 2009-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275543 | Marvin Victor Sindel IIi | Nurse Practitioner | 1241 E 8th St, Jacksonville, FL 32206 | 2018-05-17 |
| 1982126553 | Marcia Camille Holloway | In Home Supportive Care | 647 East 31th Street, Jacksonville, FL 32206 | 2017-07-14 |
| 1407302656 | Tahnita Fleming | Day Training, Developmentally Disabled Services | 1309 Van Buren Street, Jacksonville, FL 32206 | 2016-08-28 |
| 1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
| 1407183965 | Richard Adam Crosby | Chiropractor | 4211 North Pearl St., Jacksonville, FL 32206 | 2009-11-04 |
| 1346494903 | Delvenia Renee Mitchell | Specialist | 4515 N Pearl St Apt 2, Jacksonville, FL 32206 | 2008-11-10 |
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1932253879 | Gale Marie Cohen-weiss | Social Worker | Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 | 2007-01-22 |
| 1396817557 | Bella Caimol Ejercito | Internal Medicine | 4608 Norwood Ave, Jacksonville, FL 32206 | 2006-11-14 |
| 1962584433 | Jessica Ivette Warthen | Pharmacist | 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 | 2006-10-20 |
| Find all providers in zip 32206 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898457 | Hyperbaric Therapy of Jacksonville | Clinic/Center | 11701 San Jose Blvd Ste 108, Jacksonville, FL 32223-0756 | 2019-12-20 |
| 1912548769 | Health Access Rx Services | Clinic/Center | 3050 Tamaya Blvd Apt 639, Jacksonville, FL 32246-1255 | 2019-10-03 |
| 1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
| 1952770463 | Alignment Healthcare Florida LLC | Clinic/Center | 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 | 2015-09-15 |
| 1336516814 | Alignment Healthcare Florida LLC | Clinic/Center | 5500 Blanding Blvd, Jacksonville, FL 32244-1946 | 2015-08-31 |
| 1629489141 | Amador Garcia Nazareno | Clinic/Center | 2258 Pocosin Ct, Jacksonville, FL 32246-4193 | 2014-05-19 |
| 1902188782 | Wellness Rehab Services Inc | Clinic/Center | 6550 San Augustin Rd, Ste 304, Jacksonville, FL 32217 | 2011-09-16 |
| 1346575800 | Learning Basics Inc | Clinic/Center | 12606 Arrowleaf Ln, Jacksonville, FL 32225-6848 | 2009-10-16 |
| 1114116811 | American Current Care Pa | Clinic/Center | 5600 Spring Park Road, Suite 100, Jacksonville, FL 32216 | 2007-10-18 |
| 1750574133 | Banister Chiropractic | Clinic/Center | 4111 Atlantic Boulevard, Jacksonville, FL 32207-2038 | 2007-08-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32206 |
Please comment or provide details below to improve the information on DEPARTMENT OF VETERANS AFFAIRS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.