Active NPI
Jennifer Cittadino, APRN,BC
- Family Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1376523704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNO9249437
- Practice address
- 5225 Clayton CT
Fort Myers, FL 33907-2117 - Phone
- (239) 343-8250
- Fax
- (239) 343-8249
- NPI assigned
- Jan 20, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9249437 | FL | |
| Nurse Practitioner | 363L00000X | 26NJ00027500 | NJ | |
| Family Nurse Practitioner | 363LF0000X | ARNO9249437 | FL | Primary |
Addresses
Primary practice location
5225 Clayton CT
Fort Myers, FL 33907-2117
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-8250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008997000 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9249437 | FL | MD | Nurse Practitioner |
| 26NJ00027500 | NJ | MD | Nurse Practitioner |
| ARNO9249437 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vericare Behavioral Health of New Jersey, P.a. | Past | Accepting new patients | |
| Premier Pain Centers, LLC. | Past | Accepting new patients | |
| Lee Health System Inc | Past | Accepting new patients | |
| Liberty Anesthesia, PC | Past | Accepting new patients |
Interoperability endpoints
- jennifer.cittadino.1@29290.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Anesthesiology Physician
- Freehold, NJ
- NPI 1548214075
-
- Pain Medicine (Anesthesiology) Physician
- Shrewsbury, NJ
- NPI 1801987078
-
- Clinical Psychologist
- San Diego, CA
- NPI 1669408274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1376523704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-8250",
"fax_number": "239-343-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 CLAYTON CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339072117",
"telephone_number": "239-343-8250",
"fax_number": "239-343-8249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CITTADINO",
"first_name": "JENNIFER",
"credential": "APRN,BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9249437",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00027500",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNO9249437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008997000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.