Individual provider Active NPI

Jennifer F Harbour, APRN

  • Adult Health Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1902449663
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11004551 Issued in FL
Practice address
1563 Land O Lakes Blvd
Lutz, FL 33549-2930
Phone
(813) 856-2946
NPI assigned
Oct 24, 2019
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11004551 FL Primary

Addresses

Primary practice location

1563 Land O Lakes Blvd
Lutz, FL 33549-2930

Mailing address

1563 Land O Lakes Blvd
Lutz, FL 33549-2930
Phone (813) 856-2946

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.harbour.1@29601.direct.athenahealth.com
Direct Messaging Address jennifer.harbour.2@29601.direct.athenahealth.com

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
I20201015000179 FL Practitioner - Nurse Practitioner 1355761271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

1563 Land O Lakes Blvd
Lutz, FL 33549-2930
Phone (813) 949-4224

4759 US Hwy 19
New PT Richey, FL 34652-4945
Phone (727) 841-8772

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004551FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC CurrentSince Jun 1, 2024 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Jan 5, 2026 Accepting new patients
Optumcare Florida, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

1563 Land O Lakes Blvd
Lutz, FL 33549
Phone (813) 345-3831

4759 US Highway 19
New Pt Richey, FL 34652
Phone (727) 841-8772

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jennifer.harbour.1@29601.direct.athenahealth.com
  • Direct secure messaging: jennifer.harbour.2@29601.direct.athenahealth.com
  • Direct secure messaging: jennifer.harbour@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1902449663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 LAND O LAKES BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492930",
            "telephone_number": "813-856-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 LAND O LAKES BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492930",
            "telephone_number": "813-856-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOUR",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11004551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.harbour.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "jennifer.harbour.1@29601.direct.athenahealth.com",
            "address_1": "1563 Land O Lakes Blvd",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335492930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.harbour.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "jennifer.harbour.2@29601.direct.athenahealth.com",
            "address_1": "1563 Land O Lakes Blvd",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335492930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.