GENETTA I DALLAS LPN
NPI 1396918777
Licensed Practical Nurse in Lake City, FL

Q: What is Genetta Dallas's NPI number?

The NPI number for Genetta Dallas is 1396918777. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Q: What is Genetta Dallas's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Genetta Dallas was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2008

808 NW WILSON ST, LAKE CITY, FL 32055(386) 292-4096 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 21, 2018, Feb 15, 2016 (2 updates tracked since 2016).

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About Genetta I Dallas Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENETTA I DALLAS LPN (NPI 1396918777) is an individual licensed practical nurse in Lake City, Florida, licensed in Florida (PN5176094) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1396918777

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameGENETTA I DALLASCredential: LPN

Location Address808 NW WILSON STLake City, FL 32055-1867

Mailing Address808 Nw Wilson StLake City, FL 32055-1867 · (386) 292-4096

Phone(386) 292-4096

Sole ProprietorYes

Enumeration DateApril 8, 2008

Last NPPES UpdateFebruary 21, 20182 updates tracked since enumeration

✔ NPI 1396918777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · PN5176094

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

808 NW WILSON ST, Lake City, FL 32055

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genetta Dallas's NPI number?

The NPI number for Genetta Dallas is 1396918777. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Genetta Dallas located?

Genetta Dallas practices at 808 NW Wilson St, Lake City, FL 32055. The listed phone number is (386) 292-4096.

What is Genetta Dallas's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Genetta Dallas was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.