Active NPI
Jennifer Joanne Carlson, APRN
- Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1144848144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11007541
- Practice address
- 5041 N 12TH Ave
Pensacola, FL 32504-8916 - Phone
- (850) 202-0840
- NPI assigned
- Jul 7, 2020
- Last updated
- Jun 18, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11007541 | FL | Primary |
Addresses
Primary practice location
5041 N 12TH Ave
Pensacola, FL 32504-8916
Mailing address
3215 Glen Coe CT
Milton, FL 32583-4517
Phone (850) 377-6671
Other names 1
- Jennifer Joanne Entsminger
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 |
|---|---|---|---|---|
| I20210209002482 | FL | Practitioner - Nurse Practitioner | 3678988441 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1144848144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 GLEN COE CT",
"city": "MILTON",
"state": "FL",
"postal_code": "325834517",
"telephone_number": "850-377-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5041 N 12TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048916",
"telephone_number": "850-202-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "JENNIFER",
"middle_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11007541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ENTSMINGER",
"middle_name": "JOANNE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pensacola, FL
- Caring Hearts Pediatric Extended Care Center, Inc. (Caring Hearts Pediatric Extended Care Center)
- Carissa Ann Carisse, APRN
- Hollie Beth Carlisle, CLD
- Donald Clinton Carlock Jr., DC
- Corinne Georgette-Marie Carlson, RN - IBCHLC (LACTATI
- Raymond John Carlson Jr., P.A.
- Maria A Carmona-Gonzalez, M.D.
- Caroline Snowberger DO LLC
- Joseph L Caronna Jr., CRNA
- Kathryn K Carpenter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.