Individual provider Active NPI

Necole Javan Duling, RN

  • Home Health Registered Nurse
  • Lakeland, FL
National Provider Identifier
1871184192
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
9313604 Issued in FL
Practice address
4415 Florida National Dr Ste 201
Lakeland, FL 33813-1569
Phone
(863) 808-3533
NPI assigned
Jan 29, 2021
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH0200X 9313604 FL Primary

Addresses

Primary practice location

4415 Florida National Dr Ste 201
Lakeland, FL 33813-1569

Mailing address

4415 Florida National Dr Ste 201
Lakeland, FL 33813-1569
Phone (863) 808-3533

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9313604FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grannys in Home Care, Inc. Current Accepting new patients
Grannys in Home Care, Inc. Home Health Current Accepting new patients

Locations

4415 Florida National Dr
Ste 201
Lakeland, FL 33813
Phone (863) 581-4035

Organizations & group practices 2

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1871184192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 FLORIDA NATIONAL DR STE 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131569",
            "telephone_number": "863-808-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 FLORIDA NATIONAL DR STE 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131569",
            "telephone_number": "863-808-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULING",
        "first_name": "NECOLE",
        "middle_name": "JAVAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9313604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.