Individual provider Active NPI

Jennifer Brooke Veleber, RN

  • Wound Care Registered Nurse
  • Tallahassee, FL
National Provider Identifier
1194553628
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
9225828 Issued in FL
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

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
9225828FLMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Homecare Group, LLC CurrentSince Jul 28, 2024 Accepting new patients
Sage Management Company LLC Wound Care CurrentSince Aug 4, 2024 Accepting new patients
Tallahassee Mobile Wound Care LLC PastSince Jul 28, 2024 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.

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.

Verify at the official NPI Registry.