Individual provider Active NPI

Jessie Dupins, LPN

  • Licensed Practical Nurse
  • Monticello, FL
National Provider Identifier
1154719441
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN798931 Issued in FL
Practice address
960 Rocky Branch Rd
Monticello, FL 32344-2706
Phone
(850) 342-0115
Fax
(850) 342-0123
NPI assigned
Jan 8, 2015
Last updated
Jan 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN798931 FL Primary

Addresses

Primary practice location

960 Rocky Branch Rd
Monticello, FL 32344-2706

Mailing address

1255 W Washington St
Monticello, FL 32344-1128
Phone (850) 342-0170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN798931FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1154719441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323441128",
            "telephone_number": "850-342-0170",
            "fax_number": "850-342-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 ROCKY BRANCH RD",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323442706",
            "telephone_number": "850-342-0115",
            "fax_number": "850-342-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPINS",
        "first_name": "JESSIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN798931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.