Jennifer Opalek Geddes, F.N.P. - C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9207245 Issued in FL

Practice address

205 Dr Martin Luther King St N
St Petersburg, FL 33701-3109

Phone

(727) 824-6900

Fax

(727) 820-4275

NPI assigned

May 2, 2011

Last updated

Nov 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer Ann Opalek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1841581337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DR MARTIN LUTHER KING ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013109",
            "telephone_number": "727-824-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 DR MARTIN LUTHER KING ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013109",
            "telephone_number": "727-824-6900",
            "fax_number": "727-820-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDES",
        "first_name": "JENNIFER",
        "middle_name": "OPALEK",
        "name_prefix": "Mrs.",
        "credential": "F.N.P. - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9207245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "OPALEK",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "F.N.P. - C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.