Individual provider Active NPI

Genevieve Sejalbo Lanouette, RN

  • Ambulatory Care Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1316652415
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
RN9223888 Issued in FL
Practice address
8019 Bayberry Rd
Jacksonville, FL 32256-7411
Phone
(904) 443-6647
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN9223888 FL Primary

Addresses

Primary practice location

8019 Bayberry Rd
Jacksonville, FL 32256-7411

Mailing address

8019 Bayberry Rd
Jacksonville, FL 32256-7411
Phone (904) 443-6647

Other practice location 1

1851 Talleyrand Ave
Jacksonville, FL 32206-5473
Phone (904) 358-4450

Other practice location 2

9985 Pritchard Rd
Jacksonville, FL 32219-2894
Phone (904) 378-4652

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
RN9223888FLMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
JM Family Enterprises, Inc PastSince Jan 29, 2023 Accepting new patients
JM Family Enterprises, Inc. Past Accepting new patients
JM Family Enterprises, Inc. Past Accepting new patients

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1316652415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567411",
            "telephone_number": "904-443-6647",
            "fax_number": "904-443-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567411",
            "telephone_number": "904-443-6647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Talleyrand Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322065473",
            "country_code": "US",
            "telephone_number": "904-358-4450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9985 Pritchard Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322192894",
            "country_code": "US",
            "telephone_number": "904-378-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANOUETTE",
        "first_name": "GENEVIEVE",
        "middle_name": "SEJALBO",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "FL",
            "license": "RN9223888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.