Individual provider Active NPI

Jana Elizabeth Antonelli, ARNP

  • Family Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1912268889
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9189084 Issued in FL
Practice address
749 Heathrow Lane
Palm Harbor, FL 34683
Phone
(727) 505-3967
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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 9189084 FL Primary

Addresses

Primary practice location

749 Heathrow Lane
Palm Harbor, FL 34683

Mailing address

749 Heathrow LN
Palm Harbor, FL 34683-6336
Phone (727) 505-3967

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
I20120824000193 FL Practitioner - Nurse Practitioner 3779730866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

4927 Voorhees Rd
New Prt Rchy, FL 34653
Phone (727) 484-3326

3865 Tampa Rd
Oldsmar, FL 34677
Phone (516) 680-8080

4610 S Manhattan Ave
Tampa, FL 33611
Phone (813) 752-7000

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

1240 Pinebrook Rd
Venice, FL 34285
Phone (941) 488-6733

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1912268889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 HEATHROW LN",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346836336",
            "telephone_number": "727-505-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 HEATHROW LANE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34683",
            "telephone_number": "727-505-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLI",
        "first_name": "JANA",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9189084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.