ELLEN C. SACKETT MD
NPI 1710955067
Family Medicine in Jacksonville, FL

Q: What is Ellen Sackett's NPI number?

The NPI number for Ellen Sackett is 1710955067. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Q: What is Ellen Sackett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Sackett was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 11, 2006

6142 COLLINS RD, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32244(904) 778-3200(904) 778-9835 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ellen C. Sackett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN C. SACKETT MD (NPI 1710955067) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME54002) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1710955067

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELLEN C. SACKETTCredential: MD

Location Address6142 COLLINS RD, CREDENTIALING DEPARTMENTJacksonville, FL 32244-5806

Mailing AddressPo Box 40767, Credentialing DepartmentJacksonville, FL 32203-0767 · (904) 376-3707 · Fax (904) 391-5807

Phone(904) 778-3200

Fax(904) 778-9835

Sole ProprietorNo

Enumeration DateMarch 11, 2006

Last NPPES UpdateFebruary 2, 2015

✔ NPI 1710955067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME54002

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6142 COLLINS RD, Jacksonville, FL 32244

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Other Identifiers 2

Medicare UPINE21367

Medicare PIN07579AFL

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAN SARUCA LIM MD

Family Medicine

6142 COLLINS RD, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32244

Duval County (904) 778-3200

AMILA PERERA MD

Family Medicine

6142 COLLINS RD, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32244

Duval County (904) 778-3200

SUSAN MARIE SMITH ARNP

Nurse Practitioner

6142 COLLINS RD
JACKSONVILLE, FL 32244

Duval County (904) 778-3200

APRIL TURNER MD

Family Medicine

6142 COLLINS RD
JACKSONVILLE, FL 32244

Duval County (904) 778-3200

KAREN KAY NOLIN APRN

Nurse Practitioner

6142 COLLINS RD
JACKSONVILLE, FL 32244

Duval County (904) 778-3200

DR. ROBERT A JAMES MD

Family Medicine

6142 COLLINS RD, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32244

Duval County (904) 778-3200

DR. JOSEPH GERARD MCQUADE MD

Family Medicine

6142 COLLINS RD
JACKSONVILLE, FL 32244

Duval County (904) 778-3200

BAPTIST PRIMARY CARE INC

Family Medicine

6142 COLLINS RD
JACKSONVILLE, FL 32244

Duval County (904) 778-3200

Frequently 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 Ellen Sackett's NPI number?

The NPI number for Ellen Sackett is 1710955067. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Where is Ellen Sackett located?

Ellen Sackett practices at 6142 Collins Rd Credentialing Department, Jacksonville, FL 32244. The listed phone number is (904) 778-3200.

What is Ellen Sackett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ellen Sackett was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.