Active NPI
Anne Nadeige Jeantinor, FNP-BC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11024370
- Practice address
- 11000 University Pkwy
Pensacola, FL 32514-5732 - Phone
- (954) 663-8641
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11024370 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11024370 | FL | Primary |
Addresses
Primary practice location
11000 University Pkwy
Pensacola, FL 32514-5732
Mailing address
3109 Stirling Rd
Fort Lauderdale, FL 33312-6558
Phone (954) 663-8641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11024370 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Clinic Medical Group, PLLC | Current | Accepting new patients | |
| Thriveworks Clinical - Florida Inc | Current | Accepting new patients | |
| Telehealth Specialty Medical Group | Current | Accepting new patients | |
| Tele-Medicine Services Ny, PLLC | Past | Accepting new patients |
Locations
9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333
3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628
3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721
2425 E Commercial Blvd
Ste 405
Fort Lauderdale, FL 33308
Phone (754) 400-5514
2217 Park Bend Dr
Austin, TX 78758
Phone (916) 746-2343
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Roseville, CA
- NPI 1326338237
-
- Mental Health Counselor
- Fort Lauderdale, FL
- NPI 1396360996
-
- Psychiatry Physician
- Austin, TX
- NPI 1629409909
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735430400000",
"number": "1003503798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 STIRLING RD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333126558",
"telephone_number": "954-663-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11000 UNIVERSITY PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145732",
"telephone_number": "954-663-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANTINOR",
"first_name": "ANNE",
"middle_name": "NADEIGE",
"credential": "FNP-BC, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2024-12-29",
"certification_date": "2024-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11024370",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11024370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; 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.