Individual provider Active NPI

Jennifer L Campione, RN, MSN

  • Health & Wellness Coach
  • St Augustine, FL
National Provider Identifier
1417749102
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
RN9241377 Issued in FL
Practice address
275 Boulevard Des Pins
St Augustine, FL 32080-6412
Phone
(904) 742-6041
NPI assigned
May 20, 2025
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X RN9241377 FL Primary

Addresses

Primary practice location

275 Boulevard Des Pins
St Augustine, FL 32080-6412

Mailing address

275 Boulevard Des Pins
St Augustine, FL 32080-6412
Phone (904) 742-6041

Other names 1

  • Jennifer L Seymour Former name

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9241377FLMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1417749102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BOULEVARD DES PINS",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806412",
            "telephone_number": "904-742-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BOULEVARD DES PINS",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806412",
            "telephone_number": "904-742-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPIONE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "RN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "FL",
            "license": "RN9241377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SEYMOUR",
            "middle_name": "L",
            "credential": "RN, MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.