FIRST COAST COMMUNITY WELLNESS SERVICES LLC
NPI 1336879097
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL
About First Coast Community Wellness Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIRST COAST COMMUNITY WELLNESS SERVICES LLC (NPI 1336879097) is a healthcare organization registered as a psychiatric/mental health in Jacksonville, Florida and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Monica Johnson, Mgr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2269927
First Coast Community Wellness Services, LLC · Jacksonville, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is First Coast Community Wellness Services LLC's NPI number?
The NPI number for First Coast Community Wellness Services LLC is 1336879097. It was assigned to this organization in the NPPES registry on June 15, 2022.
Where is First Coast Community Wellness Services LLC located?
First Coast Community Wellness Services LLC is located at 5610 Fort Caroline Rd, Jacksonville, FL 32277. The listed phone number is (904) 374-4637.
What is First Coast Community Wellness Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Does First Coast Community Wellness Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2269927) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does First Coast Community Wellness Services LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list First Coast Community Wellness Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for First Coast Community Wellness Services LLC was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# First Coast Community Wellness Services Llc · NPI 1336879097
Psychiatric/Mental Health organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since June 15, 2022.
## Identity
- **NPI:** 1336879097 (Entity type: Organization)
- **Enumerated:** June 15, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Monica Johnson, MGR
## Practice location
- **Address:** 5610 FORT CAROLINE RD, Jacksonville, FL 32277-1799
- **Phone:** (904) 374-4637
## Record status
- **NPPES last updated:** May 23, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336879097) · Data from the CMS NPPES public registry.