Individual provider Active NPI

Jacquelyn Gianni, RN

  • Family Nurse Practitioner
  • Dunedin, FL
National Provider Identifier
1073149761
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006506 Issued in FL
Practice address
1105 Admiral Rd
Dunedin, FL 34698-6013
Phone
(407) 697-3850
NPI assigned
Mar 13, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006506 FL Primary

Addresses

Primary practice location

1105 Admiral Rd
Dunedin, FL 34698-6013

Mailing address

1105 Admiral Rd
Dunedin, FL 34698-6013
Phone (407) 697-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210126002581 FL Practitioner - Nurse Practitioner 4688088081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantis Clinic PAGroup PAC ID 6305916842, 3 clinicians

Practice addresses (Care Compare)

3705 Tampa Rd
Suite 22
Oldsmar, FL 34677-6346
Phone (813) 891-6343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
11006506FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantis Clinic PA CurrentSince Aug 28, 2024 Accepting new patients
Rmed LLC CurrentSince Apr 30, 2021 Accepting new patients
Atlantis Clinic PA CurrentSince Aug 28, 2024 Accepting new patients
Rmed LLC Current Accepting new patients
Rmed LLC CurrentSince Apr 30, 2021 Accepting new patients

Locations

3705 Tampa Rd
Ste 22
Oldsmar, FL 34677
Phone (813) 891-6343

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1073149761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 ADMIRAL RD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986013",
            "telephone_number": "407-697-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 ADMIRAL RD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986013",
            "telephone_number": "407-697-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNI",
        "first_name": "JACQUELYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.