Active NPI
Christina Marie Landeck, ARNP
- Gerontology Nurse Practitioner
- The Villages, FL
National Provider Identifier
1609091438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- ARNP 1829532
- Practice address
- 631 Allenwood Loop
The Villages, FL 32162-1004 - Phone
- (352) 259-4705
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ARNP 1829532 | FL | Primary |
Addresses
Primary practice location
631 Allenwood Loop
The Villages, FL 32162-1004
Mailing address
631 Allenwood Loop
The Villages, FL 32162-1004
Phone (352) 259-4705
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG81OZ | Other | FL | MEDICARE PTAN |
| ARNP 1829532 | Other | FL | ARNP LICENSE NUMBER |
| 2007000083-23 | Other | ANCC GERI. BD. CERT. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1829532 | FL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1609091438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 ALLENWOOD LOOP",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321621004",
"telephone_number": "352-259-4705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 ALLENWOOD LOOP",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321621004",
"telephone_number": "352-259-4705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDECK",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "ARNP 1829532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AG81OZ",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP LICENSE NUMBER",
"identifier": "ARNP 1829532",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC GERI. BD. CERT.",
"identifier": "2007000083-23",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
- Lake Medical Imaging and Breast Center at the Villages LLC (Lake Medical Imaging at Lake Sumter Landing)
- Lake Medical Imaging and Breast Center at the Villages LLC (Lake Medical Imaging at Colony Plaza)
- Lake Point Medical Associates Inc
- Heather Lamb, APRN
- Caitlyn Lambert, PA-C
- Richard Edwin Landeck, D.C., C.AD.
- Lange Eye Care & Associates PA
- Panthipa Laowansiri, M.D.
- Nicole Larusso
- Dorothy Lasky, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.