Active NPI
Janice Jean Dunlap, APRN-BC, CNS
- Adult Health Nurse Practitioner
- Fort Walton Beach, FL
National Provider Identifier
1205842572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9253950
- Practice address
- 1106 Hospital Road
Neuroscience Center
Fort Walton Beach, FL 32547 - Phone
- (850) 863-8273
- Fax
- (850) 863-7045
- NPI assigned
- Jul 31, 2006
- Last updated
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9253950 | FL | Primary |
Addresses
Primary practice location
1106 Hospital Road
Neuroscience Center
Fort Walton Beach, FL 32547
Mailing address
1106 Hospital Road
Neuroscience Center
Fort Walton Beach, FL 32547
Phone (850) 863-8273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007201000 | Medicaid | FL | |
| Y0F1Z | Other | FL | BCBSFL |
Other names 1
- Janice Jean Dykstra
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1205842572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 HOSPITAL ROAD",
"address_2": "NEUROSCIENCE CENTER",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32547",
"telephone_number": "850-863-8273",
"fax_number": "850-863-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 HOSPITAL ROAD",
"address_2": "NEUROSCIENCE CENTER",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32547",
"telephone_number": "850-863-8273",
"fax_number": "850-863-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "JANICE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "APRN-BC, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9253950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007201000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "Y0F1Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "DYKSTRA",
"middle_name": "JEAN",
"credential": "ARNP-BC, CNS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.