Individual provider Active NPI

Jessica Leon

  • Family Nurse Practitioner
  • Venice, FL
National Provider Identifier
1912643198
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019295 Issued in FL
Practice address
300 Tamiami TRL S Unit 1
Venice, FL 34285-2422
Phone
(941) 303-5713
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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 APRN11019295 FL Primary

Addresses

Primary practice location

300 Tamiami TRL S Unit 1
Venice, FL 34285-2422

Mailing address

13181 Steinhatchee Loop
Venice, FL 34293-1247
Phone (941) 961-5825

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
I20230120002605 FL Practitioner - Nurse Practitioner 6204207657 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Health LLC CurrentSince Oct 12, 2022 Accepting new patients
Center for Urogynecology and Female Pelvic Health Past Accepting new patients

Locations

300 Tamiami Trl S
Unit 1
Venice, FL 34285
Phone (941) 303-5713

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18910/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.leon.1@18910.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1912643198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13181 STEINHATCHEE LOOP",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931247",
            "telephone_number": "941-961-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAMIAMI TRL S UNIT 1",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852422",
            "telephone_number": "941-303-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.