Individual provider Active NPI

Jennifer Allen

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1356213292
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11043031 Issued in FL
Practice address
15 8TH St N # 305
St Petersburg, FL 33701-3614
Phone
(727) 409-0332
Fax
(727) 324-6631
NPI assigned
Sep 20, 2025
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11043031 FL Primary

Addresses

Primary practice location

15 8TH St N # 305
St Petersburg, FL 33701-3614

Mailing address

15 8TH St N # 305
St Petersburg, FL 33701-3614
Phone (727) 409-0332

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 4, 2026 through May 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11043031FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Family Resource Center LLC Multi-Specialty CurrentSince Sep 21, 2025 Accepting new patients

Locations

5181 Ward Rd
Unit 206
Wheat Ridge, CO 80033
Phone (720) 315-0123

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": "1758326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1356213292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 8TH ST N # 305",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013614",
            "telephone_number": "727-409-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 8TH ST N # 305",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013614",
            "telephone_number": "727-409-0332",
            "fax_number": "727-324-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-20",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11043031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.