Individual provider Active NPI

Jennifer Rebecca Thiel, NP

  • Adult Health Nurse Practitioner
  • Minneola, FL
National Provider Identifier
1427447952
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9495967 Issued in FL
Practice address
719 Westview Dr
Minneola, FL 34715-5674
Phone
(352) 931-0767
Fax
(844) 551-0739
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9495967 FL Primary

Addresses

Primary practice location

719 Westview Dr
Minneola, FL 34715-5674

Mailing address

719 Westview Dr
Minneola, FL 34715-5674
Phone (352) 931-0767

Other identifiers 2

IdentifierTypeStateIssuer
ARNP9495967OtherFLFL NP LICENSE
RN9495967OtherFLFL RN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318001373 FL Order and Referring Only - Nurse Practitioner 9133493521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1427447952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 WESTVIEW DR",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347155674",
            "telephone_number": "352-931-0767",
            "fax_number": "844-551-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 WESTVIEW DR",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347155674",
            "telephone_number": "352-931-0767",
            "fax_number": "844-551-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9495967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL NP LICENSE",
            "identifier": "ARNP9495967",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RN LICENSE",
            "identifier": "RN9495967",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

Verify at the official NPI Registry.