Active NPI
Jennifer Renee Landberg, APRN
- Family Nurse Practitioner
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9406769
- Practice address
- 475 SW 27TH Ave
Delray Beach, FL 33445-4403 - Phone
- (866) 910-5960
- NPI assigned
- Mar 14, 2018
- Last updated
- Oct 6, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP138381 | TX | |
| Family Nurse Practitioner | 363LF0000X | 11377393-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 11377393-8900 | UT | |
| Family Nurse Practitioner | 363LF0000X | APRN002943 | NV | |
| Family Nurse Practitioner | 363LF0000X | ARNP9406769 | FL | Primary |
Addresses
Primary practice location
475 SW 27TH Ave
Delray Beach, FL 33445-4403
Mailing address
411 12TH Ave NE
Naples, FL 34120-6317
Other practice location 1
3080 N 1700 E Ste B
Layton, UT 84040-8592
Phone (801) 825-6597
Other practice location 2
1575 Pine Ridge Rd Ste 19
Naples, FL 34109-2110
Phone (239) 593-0663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN002943 | NV | MD | Family Nurse Practitioner |
| AP138381 | TX | MD | Family Nurse Practitioner |
| 11377393-8900 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epn Urgent Care LLC | Current | Accepting new patients | |
| Integrated Medical Centre of Bonita Springs Inc | Current | Accepting new patients | |
| Urgent Care of Naples PA | Current | Accepting new patients |
Locations
28315 S Tamiami Trl
Ste 101
Bonita Springs, FL 34134
Phone (239) 947-1177
6400 Davis Blvd
Ste 103
Naples, FL 34104
Phone (239) 304-0054
Interoperability endpoints
- jennifer.landberg.p3@direct.caremorewest.nextgenshare.com
Organizations & group practices 4
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.
-
- General Practice Physician
- Sandy, UT
- NPI 1770916306
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1275624579
-
dba Accident and Injury Clinic
- Chiropractor
- Bonita Springs, FL
- NPI 1619946241
-
- Family Medicine Physician
- Naples, FL
- NPI 1821320730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1922501139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 12TH AVE NE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341206317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SW 27TH AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334454403",
"telephone_number": "866-910-5960"
}
],
"practiceLocations": [
{
"address_1": "3080 N 1700 E Ste B",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840408592",
"country_code": "US",
"telephone_number": "801-825-6597",
"fax_number": "888-770-2983",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 Pine Ridge Rd Ste 19",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341092110",
"country_code": "US",
"telephone_number": "239-593-0663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDBERG",
"first_name": "JENNIFER",
"middle_name": "RENEE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP138381",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "11377393-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "11377393-8900",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002943",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9406769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.