Individual provider Active NPI

Jill Anne Gregalot, LPN

  • Licensed Practical Nurse
  • Sebring, FL
National Provider Identifier
1912349267
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 1247111 Issued in FL
Practice address
7205 S George Blvd
Sebring, FL 33875-5847
Phone
(863) 382-7234
Fax
(863) 382-7289
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 1247111 FL Primary

Addresses

Primary practice location

7205 S George Blvd
Sebring, FL 33875-5847

Mailing address

7205 S George Blvd
Sebring, FL 33875-5847
Phone (863) 382-7234

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

State licenses

LicenseStateTypeSpecialty
PN 1247111FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1912349267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 S GEORGE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338755847",
            "telephone_number": "863-382-7234",
            "fax_number": "863-382-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 S GEORGE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338755847",
            "telephone_number": "863-382-7234",
            "fax_number": "863-382-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGALOT",
        "first_name": "JILL",
        "middle_name": "ANNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN 1247111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.