Active NPI
Jessica Sue Gellady Alalof, ARNP
- Nurse Practitioner
- New Port Richey, FL
National Provider Identifier
1396006664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 9224726
- Practice address
- 4738 Grand Blvd
Suite C
New Port Richey, FL 34652-5170 - Phone
- (727) 807-7800
- Fax
- (727) 807-7878
- NPI assigned
- Jun 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 9224726 | FL | Primary |
Addresses
Primary practice location
4738 Grand Blvd
Suite C
New Port Richey, FL 34652-5170
Mailing address
4738 Grand Blvd
Suite C
New Port Richey, FL 34652-5170
Phone (727) 807-7800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9224726 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1396006664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4738 GRAND BLVD",
"address_2": "SUITE C",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346525170",
"telephone_number": "727-807-7800",
"fax_number": "727-807-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4738 GRAND BLVD",
"address_2": "SUITE C",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346525170",
"telephone_number": "727-807-7800",
"fax_number": "727-807-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLADY ALALOF",
"first_name": "JESSICA",
"middle_name": "SUE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 9224726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.