Individual provider Active NPI

Julia C. Pallentino, ARNP

  • Adult Health Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1245229053
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 579352 Issued in FL
Practice address
2457 Care Dr
Suite D 100
Tallahassee, FL 32308-3501
Phone
(850) 841-1166
Fax
(850) 942-5466
NPI assigned
Oct 14, 2005
Last updated
Dec 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 579352 FL Primary

Addresses

Primary practice location

2457 Care Dr
Suite D 100
Tallahassee, FL 32308-3501

Mailing address

2457 Care Dr
Suite D 100
Tallahassee, FL 32308-3501
Phone (850) 841-1166

Other identifiers 3

IdentifierTypeStateIssuer
99039OtherFLGROUP BCBS #
99039OtherFLGROUP MEDICARE #
CK0297OtherFLGROUP RR MEDICARE #

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 579352FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Regional Healthcare Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1245229053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 CARE DR",
            "address_2": "SUITE D 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083501",
            "telephone_number": "850-841-1166",
            "fax_number": "850-942-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 CARE DR",
            "address_2": "SUITE D 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083501",
            "telephone_number": "850-841-1166",
            "fax_number": "850-942-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLENTINO",
        "first_name": "JULIA",
        "middle_name": "C.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 579352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS #",
            "identifier": "99039",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE #",
            "identifier": "99039",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RR MEDICARE #",
            "identifier": "CK0297",
            "state": "FL"
        }
    ],
    "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 Dec 13, 2007; 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.