Individual provider Active NPI

Jenny Garcia Dopico, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Labelle, FL
National Provider Identifier
1699282004
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11012223 Issued in FL
Practice address
1140 Pratt Blvd
Labelle, FL 33935-4405
Phone
(863) 674-4041
NPI assigned
Jan 8, 2018
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11012223 FL Primary

Addresses

Primary practice location

1140 Pratt Blvd
Labelle, FL 33935-4405

Mailing address

1140 Pratt Blvd
Labelle, FL 33935-4405
Phone (863) 674-4041

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
I20210803001309 FL Practitioner - Nurse Practitioner 0244634954 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012223FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Healthcare Systems, Inc CurrentSince Jul 9, 2021 Accepting new patients
Florida Department of Health CurrentSince Jul 8, 2022 Accepting new patients
Florida Department of Health CurrentSince Jul 8, 2022 Accepting new patients
Florida Department of Health CurrentSince Apr 4, 2025 Accepting new patients
Gulf Coast Healthcare Systems Inc CurrentSince Jul 9, 2021 Accepting new patients
Florida Department of Health CurrentSince Apr 4, 2025 Accepting new patients
Gulf Coast Healthcare Center, Inc. PastSince Feb 1, 2022 Accepting new patients

Locations

1100 S Olympia St
Clewiston, FL 33440
Phone (561) 996-9573

2295 Victoria Ave
Fort Myers, FL 33901
Phone (239) 338-1350

2295 Victoria Ave
Fl 2
Fort Myers, FL 33901
Phone (239) 332-9568

3920 Michigan Ave
Fort Myers, FL 33916
Phone (239) 332-9501

1140 Pratt Blvd
Labelle, FL 33935
Phone (863) 674-4041

2724 5th St W
Ste Bc
Lehigh Acres, FL 33971
Phone (239) 303-9298

2724 5th St W
Ste C
Lehigh Acres, FL 33971
Phone (239) 303-9296

1021 Health Park Dr
Moore Haven, FL 33471
Phone (863) 946-0405

83 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 461-6100

18255 Homestead Ave
Perrine, FL 33157
Phone (305) 234-2186

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1699282004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 PRATT BLVD",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339354405",
            "telephone_number": "863-674-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 PRATT BLVD",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339354405",
            "telephone_number": "863-674-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPICO",
        "first_name": "JENNY",
        "middle_name": "GARCIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Labelle, FL

Sources for this page

Verify at the official NPI Registry.