NPI Code Detail JSON Logo

1881233526 NPI number — JANADRA DEAN GREENIDGE APRN

NPI Number: 1881233526
Health Care Provider/Practitioner: JANADRA DEAN GREENIDGE APRN

Information about “1881233526” NPI (JANADRA DEAN GREENIDGE APRN) exists in 1881233526 in HTML format HTML  |  1881233526 in plain Text format TXT  |  1881233526 in PDF (Portable Document Format) PDF  |  1881233526 in an XML format XML  formats.

NPI Number : 1881233526 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881233526",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREENIDGE",
    "FirstName": "JANADRA",
    "MiddleName": "DEAN",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GREENIDGE",
    "OtherFirstName": "JANADRA",
    "OtherMiddleName": "DEAN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "5979 VINELAND RD STE 207",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32819-7855",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-893-1181",
    "MailingAddressFaxNumber": "407-440-8269",
    "FirstLinePracticeLocationAddress": "5979 VINELAND RD STE 207",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32819-7855",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-893-1181",
    "PracticeLocationAddressFaxNumber": "407-440-8269",
    "EnumerationDate": "12/28/2019",
    "LastUpdateDate": "06/29/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "11005463",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "APRN11005463",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.