Active NPI
Jennifer Chouinard, ARNP
- Family Nurse Practitioner
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11019649
- Practice address
- 2055 Wood St
Sarasota, FL 34237-7903 - Phone
- (941) 300-7110
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11019649 | FL | Primary |
Addresses
Primary practice location
2055 Wood St
Sarasota, FL 34237-7903
Mailing address
8586 Potter Park Dr
Sarasota, FL 34238-5439
Phone (941) 223-9002
Other practice location 1
8586 Potter Park Dr
Sarasota, FL 34238-5439
Phone (941) 223-9002
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221027002678 | FL | Practitioner - Nurse Practitioner | 3375910714 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11019649 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Infusion, LLC | Current | Accepting new patients |
Locations
8880 Gladiolus Dr
Ste C200
Fort Myers, FL 33908
Phone (239) 533-5962
1090 NW 8th Ave
Ste 30
Gainesville, FL 32601
Phone (352) 450-8886
2055 Wood St
Sarasota, FL 34237
Phone (941) 300-7110
4728 N Habana Ave
Ste 101B
Tampa, FL 33614
Phone (813) 775-9997
910 Old Camp Rd
Ste 196
The Villages, FL 32162
Phone (352) 565-5553
Organizations & group practices 1
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": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680393600000",
"number": "1124764121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8586 POTTER PARK DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342385439",
"telephone_number": "941-223-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 WOOD ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342377903",
"telephone_number": "941-300-7110"
}
],
"practiceLocations": [
{
"address_1": "8586 Potter Park Dr",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342385439",
"country_code": "US",
"telephone_number": "941-223-9002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOUINARD",
"first_name": "JENNIFER",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2023-04-02",
"certification_date": "2023-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11019649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.