Active NPI
Jennifer Brooke Veleber, RN
- Wound Care Registered Nurse
- Tallahassee, FL
National Provider Identifier
1194553628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 9225828
- Practice address
- 1415 Piedmont Dr E Ste 4
Tallahassee, FL 32308-7944 - Phone
- (850) 345-8383
- NPI assigned
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 9225828 | FL | Primary |
Addresses
Primary practice location
1415 Piedmont Dr E Ste 4
Tallahassee, FL 32308-7944
Mailing address
2978 Stonybrook CT
Tallahassee, FL 32309-2167
Phone (850) 345-8383
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9225828 | FL | MD | Wound Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Homecare Group, LLC | Current | Accepting new patients | |
| Sage Management Company LLC | Wound Care | Current | Accepting new patients |
| Tallahassee Mobile Wound Care LLC | Past | Accepting new patients |
Locations
1415 Piedmont Dr E
Ste 4
Tallahassee, FL 32308
Phone (850) 345-8383
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.
-
- Wound Care Registered Nurse
- Tallahassee, FL
- NPI 1154151561
-
- In Home Supportive Care Agency
- Tallahassee, FL
- NPI 1134998453
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1396563037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1194553628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2978 STONYBROOK CT",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323092167",
"telephone_number": "850-345-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PIEDMONT DR E STE 4",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323087944",
"telephone_number": "850-345-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEBER",
"first_name": "JENNIFER",
"middle_name": "BROOKE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "FL",
"license": "9225828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.