Individual provider Active NPI

Jennifer Weitlauf, APRN, FNP-C

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1154895514
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001372 Issued in FL
Practice address
1720 SE 16TH Ave Ste 303
Ocala, FL 34471-4620
Phone
(352) 369-0288
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 APRN11001372 FL Primary
Family Nurse Practitioner 363LF0000X 11001372 FL

Addresses

Primary practice location

1720 SE 16TH Ave Ste 303
Ocala, FL 34471-4620

Mailing address

1720 SE 16TH Ave Ste 303
Ocala, FL 34471-4620
Phone (352) 369-0288

Other practice location 1

4075 SE 53rd Ct
Ocala, FL 34480
Phone (352) 843-5844

Other practice location 2

310 SE 29th Pl
Ocala, FL 34471-0486
Phone (352) 732-6400 ext. 35284

Other practice location 3

310 SE 29th Pl
Ocala, FL 34471-0486
Phone (352) 732-6400 ext. 35284

Other identifiers 1

IdentifierTypeStateIssuer
1003866823OtherFLALL

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11001372FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1154895514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE STE 303",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-369-0288",
            "fax_number": "352-867-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE STE 303",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-369-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4075 SE 53rd Ct",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "34480",
            "country_code": "US",
            "telephone_number": "352-843-5844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 SE 29th Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710486",
            "country_code": "US",
            "telephone_number": "352-732-6400 x35284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 SE 29th Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710486",
            "country_code": "US",
            "telephone_number": "352-732-6400 x35284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEITLAUF",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001372",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL",
            "identifier": "1003866823",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.