Individual provider Active NPI

Jennifer Cittadino, APRN,BC

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1376523704
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNO9249437 Issued in FL
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

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008997000MedicaidFL

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
ARNP9249437FLMDNurse Practitioner
26NJ00027500NJMDNurse Practitioner
ARNO9249437FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.