Individual provider Active NPI

Jennifer Tarducci

  • Registered Nurse
  • Loxahatchee, FL
National Provider Identifier
1558943936
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704268562 Issued in MI
Practice address
19635 Weathervane Way
Loxahatchee, FL 33470-2151
Phone
(248) 345-5824
NPI assigned
Apr 25, 2021
Last updated
Apr 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704268562 MI Primary

Addresses

Primary practice location

19635 Weathervane Way
Loxahatchee, FL 33470-2151

Mailing address

19635 Weathervane Way
Loxahatchee, FL 33470-2151
Phone (248) 345-5824

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

LicenseStateTypeSpecialty
4704268562MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1558943936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19635 WEATHERVANE WAY",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702151",
            "telephone_number": "248-345-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19635 WEATHERVANE WAY",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702151",
            "telephone_number": "248-345-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDUCCI",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704268562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; 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.