MRS. JESSICA REGAN (NPI# 1033592597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033592597 |
Entity Type | Individual |
Full Name | MRS. JESSICA REGAN |
Credential | P.A. |
Practice Address |
5270 Babcock St Ne Ste 1 Palm Bay FL 32905-4616 |
Mailing Address |
Po Box 1137 Melbourne FL 32902-1137 |
Practice Telephone | 3217225959 |
Practice Fax Number | 3217225960 |
Mailing Telephone | 3219529696 |
Mailing Fax Number | 3219527937 |
Enumeration Date | 2015-07-02 |
Last Update Date | 2019-01-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 9108744 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235653213 | Jessica Regan | Social Worker | 6363 France Ave S Ste 402, Edina, MN 55435-2142 | 2017-08-01 |
1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
1316479298 | Jessica Ann Regan | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2017-03-30 |
1124407176 | Jessica Marshall Regan | Dietitian, Registered | 117 Vip Dr Ste 310, Wexford, PA 15090-6936 | 2015-05-22 |
1427467091 | Jessica Regan | Counselor | 81 Plantation St, Worcester, MA 01604-3069 | 2014-08-08 |
Street Address |
5270 BABCOCK ST NE STE 1 |
City | PALM BAY |
State | FL |
Zip Code | 32905-4616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649259623 | Doris Margarita Leedy | Pediatrics | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2006-01-10 |
1851927263 | Michelle Beck | Pharmacist | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2020-03-17 |
1770128530 | Natalie Swartz | Nurse Practitioner | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2019-11-15 |
1124660527 | Brevard Health Alliance Inc | Pharmacy | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2019-10-17 |
1104488337 | Rose Philius | Nurse Practitioner | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2019-07-09 |
1497183693 | Paulna Thomas | Nurse Practitioner | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2013-10-24 |
1083953434 | Susana Michelle Vazquez Nieves | Counselor | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2013-02-05 |
1205026291 | Vicdia L Sostre Concepcion | General Practice | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2007-07-26 |
1053450759 | Ramon Isales | Pediatrics | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2007-02-06 |
1316004815 | Brevard Health Alliance Inc | Clinic/Center | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2007-01-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
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Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588289722 | Maria Alejandra Arango Rojas | Physician Assistant | 1421 Malabar Rd Ne Ste 200, Palm Bay, FL 32907-2559 | 2020-06-13 |
1053830760 | Bryan James Carey | Physician Assistant | 741 Dinner St Ne, Palm Bay, FL 32907-2034 | 2017-09-13 |
1861940421 | Megan Dennis | Physician Assistant | 1168 Kenmore St Nw, Palm Bay, FL 32907-9012 | 2016-09-13 |
1053594366 | Melinda Ann Cobb | Physician Assistant | 490 Centre Lake Dr Ne Ste 200, Palm Bay, FL 32907-1189 | 2007-12-10 |
1932114477 | Bernie Kaiman | Physician Assistant | 6100 Minton Rd, Suite 102, Palm Bay, FL 32907 | 2006-07-31 |
1023072170 | Jeanette Marie Gluck | Physician Assistant | 5070 Minton Rd Nw Ste 3, Palm Bay, FL 32907-1157 | 2006-04-14 |
1265428288 | Maria L Fortington | Physician Assistant | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 | 2005-09-26 |
1548779580 | Samar Fawaz | Physician Assistant | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2017-09-21 |
1427370469 | Martin Antony Fidelia | Physician Assistant | 1421 Malabar Rd Ne, Physicians Office Bldg #200, Palm Bay, FL 32907-2576 | 2010-02-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.