Individual provider Active NPI

Jelinda Brianne Cummings, FNP-BC

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1174902852
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9445274 Issued in FL
Practice address
13020 Livingston Rd Unit 314
Naples, FL 34105-5021
Phone
(239) 262-3330
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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 19459 SC
Family Nurse Practitioner 363LF0000X 9445274 FL Primary

Addresses

Primary practice location

13020 Livingston Rd Unit 314
Naples, FL 34105-5021

Mailing address

419 E Butler Rd Unit 8
Mauldin, SC 29662-3220

Other practice location 1

2210 Laurens Rd
Greenville, SC 29607-3224
Phone (864) 307-8672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150828001803 SC Practitioner - Nurse Practitioner 3971819483
I20170517001247 FL Practitioner - Nurse Practitioner 3971819483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9445274FLMDFamily Nurse Practitioner
19459SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Integrated Healthcare Inc CurrentSince Apr 14, 2019 Accepting new patients
Synergy Chiropractic and Health Center PA PastSince Apr 14, 2019 Accepting new patients
Cape Coral Hospitalists Inc Past Accepting new patients

Locations

13020 Livingston Rd
Unit 314
Naples, FL 34105
Phone (239) 262-3330

13020 Livingston Rd
Ste 14
Naples, FL 34105
Phone (239) 263-3330

Organizations & group practices 3

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1174902852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E BUTLER RD UNIT 8",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296623220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 LIVINGSTON RD UNIT 314",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055021",
            "telephone_number": "239-262-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Laurens Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073224",
            "country_code": "US",
            "telephone_number": "864-307-8672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "JELINDA",
        "middle_name": "BRIANNE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19459",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9445274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.