Individual provider Active NPI

Jennifer Pardee Vinalon, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1033593322
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9311174 Issued in FL
Practice address
14105 McCormick Dr
Tampa, FL 33626-3019
Phone
(727) 601-4513
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10662 CT
Family Nurse Practitioner 363LF0000X ARNP9311174 FL Primary

Addresses

Primary practice location

14105 McCormick Dr
Tampa, FL 33626-3019

Mailing address

14105 McCormick Dr
Tampa, FL 33626-3019
Phone (727) 601-4513

Other names 1

  • Jennifer Pardee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT, TX, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160321001863 FL Practitioner - Nurse Practitioner 1153626866 Reassigns benefits to 1 organization
I20230629003193 CT Practitioner - Nurse Practitioner 1153626866 Reassigns benefits to 2 organizations
I20230925000861 TX Practitioner - Nurse Practitioner 1153626866 Reassigns benefits to 1 organization
I20240628002713 GA Practitioner - Nurse Practitioner 1153626866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10662CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Healthcare System Inc CurrentSince Jun 1, 2024 Accepting new patients
Neighborhood Health, Inc. Family CurrentSince Mar 1, 2024 Accepting new patients
Premier Community Healthcare Group, Inc. CurrentSince Oct 29, 2017 Accepting new patients
Valley Healthcare System Inc Current Accepting new patients
Premier Community Healthcare Group Inc CurrentSince Oct 29, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 15, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 15, 2023 Accepting new patients
Valley Healthcare System CurrentSince Jun 1, 2024 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

300 S Main St
Brooksville, FL 34601
Phone (352) 540-6800

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

1600 Fort Benning Rd
Columbus, GA 31903
Phone (706) 322-9599

Interoperability endpoints

  • Direct secure messaging: jennifer.pardee@746395612545028.direct.elationemr.com

Organizations & group practices 9

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1033593322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 MCCORMICK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263019",
            "telephone_number": "727-601-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14105 MCCORMICK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263019",
            "telephone_number": "727-601-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINALON",
        "first_name": "JENNIFER",
        "middle_name": "PARDEE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10662",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9311174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PARDEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.