Individual provider Active NPI

Christine Jean-Leon, RN, ADMN

  • Home Health Agency
  • Brandon, FL
National Provider Identifier
1407415540
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299994813 Issued in FL
Practice address
1111 Oakfield Dr Ste. 115a
Brandon, FL 33511-4930
Phone
(813) 774-3201
Fax
(813) 774-3202
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299994813 FL Primary
Home Health Aide 374U00000X FL
Registered Nurse 163W00000X RN9305114 FL

Addresses

Primary practice location

1111 Oakfield Dr Ste. 115a
Brandon, FL 33511-4930

Mailing address

1111 Oakfield Dr Ste. 115a
Brandon, FL 33511-4930
Phone (813) 774-3201

Other identifiers 1

IdentifierTypeStateIssuer
101236100MedicaidFL

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9305114FLMDRegistered Nurse
299994813FLMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Adelphie Home Health Care, LLC Home Health Past Accepting new patients

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1407415540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 OAKFIELD DR STE. 115A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114930",
            "telephone_number": "813-774-3201",
            "fax_number": "813-774-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 OAKFIELD DR STE. 115A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114930",
            "telephone_number": "813-774-3201",
            "fax_number": "813-774-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-LEON",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RN, ADMN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994813",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9305114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101236100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.