Individual provider Active NPI

Jennifer Beck Dean, MD

  • Pediatric Hematology & Oncology Physician
  • St Petersburg, FL
National Provider Identifier
1013119320
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
ME151270 Issued in FL
Practice address
601 5TH St S
St Petersburg, FL 33701-4804
Phone
(727) 767-4176
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 0101241607 VA
Pediatric Hematology & Oncology Physician 2080P0207X ME151270 FL Primary

Addresses

Primary practice location

601 5TH St S
St Petersburg, FL 33701-4804

Mailing address

601 5TH St S Ste 302
St Petersburg, FL 33701-4804
Phone (727) 767-4176

Other practice location 1

6565 Arlington Blvd.
Ste 200
Falls Church, VA 22042
Phone (703) 531-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071011000155 DC Practitioner - Pediatric MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 8325134059 Reassigns benefits to 1 organization
I20211113000209 FL Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 8325134059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME151270FLMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Aug 10, 2012 Accepting new patients
Children'S Hospital CurrentSince Aug 10, 2012 Accepting new patients
Pediatric Physician Services, Inc. Pediatric Hematology-Oncology CurrentSince Sep 1, 2021 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

601 5th St S
St Petersburg, FL 33701
Phone (727) 767-3333

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

601 5th St S
Ste 1
St Petersburg, FL 33701

601 5th St S
Ste 302
St Petersburg, FL 33701
Phone (727) 767-4176

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

6565 Arlington Blvd
Ste 200
Falls Church, VA 22042
Phone (703) 531-3627

Interoperability endpoints

  • Direct secure messaging: jdean866349@direct.hopkinsmedicine.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1013119320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 5TH ST S STE 302",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014804",
            "telephone_number": "727-767-4176",
            "fax_number": "727-767-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 5TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014804",
            "telephone_number": "727-767-4176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Arlington Blvd.",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "22042",
            "country_code": "US",
            "telephone_number": "703-531-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JENNIFER",
        "middle_name": "BECK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "VA",
            "license": "0101241607",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "FL",
            "license": "ME151270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.