Individual provider Active NPI

Janine Layendecker, MS, NP-C

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1164965885
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016755 Issued in PA
Practice address
5000 Woodland Ave
Philadelphia, PA 19143-5137
Phone
(215) 726-9807
Fax
(215) 726-0424
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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 SP016755 PA Primary

Addresses

Primary practice location

5000 Woodland Ave
Philadelphia, PA 19143-5137

Mailing address

1401 S 31St St
2ND Floor
Philadelphia, PA 19146-3506
Phone (215) 925-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170531000097 PA Practitioner - Nurse Practitioner 0446527105 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016755PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc. CurrentSince Apr 3, 2017 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Public Health Mangement Corporation CurrentSince Sep 1, 2019 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Apr 3, 2017 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 3, 2022 Accepting new patients
Public Health Management Corporation CurrentSince Sep 1, 2019 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 3, 2022 Accepting new patients
Public Health Management Corporation Current Accepting new patients

Locations

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1401 S 31st St
#2
Philadelphia, PA 19146

3551 N Broad St
Philadelphia, PA 19140
Phone (215) 430-4000

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

5000 Woodland Ave
Philadelphia, PA 19143
Phone (215) 726-9807

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

1900 N 9th St
Ste 104
Philadelphia, PA 19122
Phone (215) 735-6690

Organizations & group practices 8

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": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1164965885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S 31ST ST",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463506",
            "telephone_number": "215-925-2400",
            "fax_number": "215-925-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435137",
            "telephone_number": "215-726-9807",
            "fax_number": "215-726-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYENDECKER",
        "first_name": "JANINE",
        "credential": "MS, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.