Jennifer Rosemarie Antoine, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9172578 Issued in FL

Practice address

4930 E Lake Mary Blvd
Sanford, FL 32771-5003

Phone

(407) 322-8645

Fax

(407) 269-8986

NPI assigned

Dec 20, 2017

Last updated

Nov 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4
• Direct secure messaging: jantoine572035@direct.shands.ufl.edu
• Direct secure messaging: jennifer.antoine.1@17462.direct.athenahealth.com

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.

• Roger Roque MD LLC

  dba St Francis Primary Care Clinic

  • Multi-Specialty Clinic/Center
  • Leesburg, FL
  • NPI 1205571015
  Medicare reassignment
• Pathways Clinical Partners, LLC

  • Hospitalist Physician
  • Leesburg, FL
  • NPI 1477124790
  NPD
• Visiting Nurse Services of Central Florida LLC

  • Home Health Agency
  • Leesburg, FL
  • NPI 1982947263
  NPD
• CFCF, Inc

  dba Care First Family Practice

  • Family Medicine Physician
  • Tavares, FL
  • NPI 1740206127
  NPD (past)
• Premiere Care Providers LLC

  • Internal Medicine Physician
  • Lady Lake, FL
  • NPI 1225675895
  NPD (past)

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1346756897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 E LAKE MARY BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715003",
            "telephone_number": "407-322-8645",
            "fax_number": "407-269-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 E LAKE MARY BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715003",
            "telephone_number": "407-322-8645",
            "fax_number": "407-269-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOINE",
        "first_name": "JENNIFER",
        "middle_name": "ROSEMARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9172578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106889400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qiana Monique Ancrum, MSW
• David Michael Anderson III
• Melissa Ann Anderson, PTA
• Claudine Andujar
• Angel Care, Inc.
• Jennifer Tucker Anton, B.S.W
• Ann Marie Antonietta, TCM
• Apex Audiology Consulting LLC
• Apollo's Chariots Inc.
• Gabriella McIntyre Applewhite, CRNA

• Family Nurse Practitioner in Sanford, FL
• Providers in Sanford, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.

Verify at the official NPI Registry.