GENETTA I DALLAS (LPN) – Licensed Practical Nurse, NPI 1396918777

GENETTA I DALLAS (LPN) is a healthcare provider. based in Lake city, Florida. specializing in Licensed Practical Nurse. They hold the professional credentials LPN. They hold a License No. PN5176094 (FL). The NPI Number for GENETTA I DALLAS (LPN) is 1396918777

Main info

Female
Sole Proprietor
Name
GENETTA I DALLAS (LPN)
NPI
1396918777
Phone
(386) 292-4096
Address
808 NW WILSON ST
Enumeration Date
8 April 2008
Last Update Date
21 February 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for GENETTA I DALLAS (LPN)

  • 808, Wilson Street, Hempstead, Nassau County, New York, 11581, United States

    LAKE CITY, FL 320551867

    Phone: (386) 292-4096

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32055)

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Frequently asked questions

What unique ID ties claims to GENETTA I DALLAS (LPN)?
NPI 1396918777 is assigned to GENETTA I DALLAS (LPN) under the national enumeration system.
Is GENETTA I DALLAS (LPN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is GENETTA I DALLAS (LPN)?
The page reflects Licensed Practical Nurse for GENETTA I DALLAS (LPN). Clinical services aligned with this taxonomy classification.
Where does public data place GENETTA I DALLAS (LPN)?
The snapshot lists Lake City, Florida for GENETTA I DALLAS (LPN); download NPPES for the complete set.
What if Lake City, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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