Individual provider Active NPI

Jennifer Gerard, APRN, FNP, IBCLC

  • Family Nurse Practitioner
  • Greer, SC
National Provider Identifier
1417488255
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26908 Issued in SC
Practice address
543 Adaliz Way
Greer, SC 29651-7077
Phone
(000) 000-0000
Fax
(864) 340-3498
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 68047 ID
Family Nurse Practitioner 363LF0000X 0102781 CO
Family Nurse Practitioner 363LF0000X 63518 NM
Family Nurse Practitioner 363LF0000X 113574 NE
Family Nurse Practitioner 363LF0000X 11013262 FL
Family Nurse Practitioner 363LF0000X A162163 IA
Family Nurse Practitioner 363LF0000X AP133187 TX
Family Nurse Practitioner 363LF0000X 26908 SC Primary

Addresses

Primary practice location

543 Adaliz Way
Greer, SC 29651-7077

Mailing address

8595 Pelham Rd
Ste 400 #536
Greenville, SC 29615

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
0102781COMDFamily Nurse Practitioner
11013262FLMDFamily Nurse Practitioner
A162163IAMDFamily Nurse Practitioner
68047IDMDFamily Nurse Practitioner
113574NEMDFamily Nurse Practitioner
63518NMMDFamily Nurse Practitioner
26908SCMDFamily Nurse Practitioner
AP133187TXMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1417488255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 PELHAM RD",
            "address_2": "STE 400 #536",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "fax_number": "864-305-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 ADALIZ WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517077",
            "telephone_number": "000-000-0000",
            "fax_number": "864-340-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "JENNIFER",
        "credential": "APRN, FNP,  IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "68047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0102781",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "63518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013262",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A162163",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133187",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.