Active NPI
Janadra Dean Greenidge, APRN
- Primary Care Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN11005463
- Practice address
- 5979 Vineland Rd Ste 207
Orlando, FL 32819-7855 - Phone
- (407) 893-1181
- Fax
- (407) 440-8269
- NPI assigned
- Dec 28, 2019
- Last updated
- Jun 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11005463 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11005463 | FL | Primary |
Addresses
Primary practice location
5979 Vineland Rd Ste 207
Orlando, FL 32819-7855
Mailing address
5979 Vineland Rd Ste 207
Orlando, FL 32819-7855
Phone (407) 893-1181
Other names 1
- Miss Janadra Dean Greenidge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11005463 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Sunbelt, Inc. | Family | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Family | Current | Accepting new patients |
| Adventist Health System/ Sunbelt, Inc. | Family | Current | Accepting new patients |
| Pelham Medical Practice & Aesthetic Lounge, LLC. | Family | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Family | Current | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362
5979 Vineland Rd
Ste 207
Orlando, FL 32819
Phone (407) 345-0065
Organizations & group practices 5
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.
-
dba AdventHealth Centra Care
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
Family
-
dba Health First AdventHealth Centra Care
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1295367290
Family
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1639876733
-
dba AdventHealth Centra Care - Southern Trace
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Family
-
dba Health First AdventHealth Centra Care Melbourne
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1801594858
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1881233526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5979 VINELAND RD STE 207",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197855",
"telephone_number": "407-893-1181",
"fax_number": "407-440-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5979 VINELAND RD STE 207",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197855",
"telephone_number": "407-893-1181",
"fax_number": "407-440-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENIDGE",
"first_name": "JANADRA",
"middle_name": "DEAN",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-28",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11005463",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11005463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANADRA",
"last_name": "GREENIDGE",
"middle_name": "DEAN",
"prefix": "MISS",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.