Individual provider Active NPI

Janice Ann Dennis, FNP, APRN

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1689205791
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704303247 Issued in MI
Practice address
255 Murcia Dr Apt 102
Jupiter, FL 33458-2760
Phone
(561) 847-0573
Fax
(561) 799-3400
NPI assigned
Jan 28, 2020
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004107 FL
Family Nurse Practitioner 363LF0000X 4704303247 MI Primary

Addresses

Primary practice location

255 Murcia Dr Apt 102
Jupiter, FL 33458-2760

Mailing address

255 Murcia Dr Apt 102
Jupiter, FL 33458-2760
Phone (561) 847-0573

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
I20250509001033 FL Order and Referring Only - Nurse Practitioner 0143747402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11004107FLMDFamily Nurse Practitioner
4704303247MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1689205791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MURCIA DR APT 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582760",
            "telephone_number": "561-847-0573",
            "fax_number": "561-799-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MURCIA DR APT 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582760",
            "telephone_number": "561-847-0573",
            "fax_number": "561-799-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "JANICE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004107",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.