MRS. JACQUELYN MARIE DEVITO (NPI# 1073951000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073951000 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELYN MARIE DEVITO |
| Credential | NP |
| Practice Address |
6600 30th Ave N St Petersburg FL 33710-3102 |
| Practice Telephone | 7273814463 |
| Mailing Telephone | 7273814463 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | C-APN.0001940-C- | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | NJDCATEMP-007508 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | APRN9427836 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | C-APN.0001940-C- | DC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9427836 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2292198 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
33338002 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 018050001 | 7817448000 | |
| 3116 Meta Ct, Largo, FL 337713951 | 7273041515 | 7278005543 |
| 9870 Lake Carillon Dr, Ste 300, St Petersburg, FL 33716 | 6783218546 |
| Street Address |
6600 30TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801908074 | Gigi Claire Lefebvre | Family Medicine | 6600 30th Ave N, St Petersburg, FL 33710-3102 | 2006-08-31 |
| 1700327129 | Susan Maurer | Nurse Practitioner | 6600 30th Ave N, St Petersburg, FL 33710-3102 | 2017-03-17 |
| 1760713598 | Lagniappe Medical, Pa | Family Medicine | 6600 30th Ave N, St Petersburg, FL 33710-3102 | 2010-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255815460 | Kathryn Marcino | Nurse Practitioner | 10901 Brighton Bay Blvd Ne Apt 3113, St Petersburg, FL 33716-3450 | 2018-09-24 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1487151155 | Marathon Health LLC | Nurse Practitioner | 880 Carillon Pkwy, St Petersburg, FL 33716-1102 | 2018-04-10 |
| 1619417169 | Elethia Faith Garvey-morris | Nurse Practitioner | 901 58th Ave S, St Petersburg, FL 33705-5033 | 2017-03-02 |
| 1346607116 | Inna Anderson | Nurse Practitioner | 6294 Bahia Del Mar Cir Apt 401, Unit 401, St Petersburg, FL 33715-1086 | 2016-01-25 |
| 1962754531 | Edward F Mccullough | Nurse Practitioner | 2852 66th St N, St Petersburg, FL 33710-3127 | 2012-10-08 |
| 1932451507 | Psychiatric Behavioral Services, Inc | Nurse Practitioner | 6161 Dr Martin L King St N, Ste 102, St Petersburg, FL 33703-1104 | 2012-10-08 |
| 1427321454 | Mary M. O'brien | Nurse Practitioner | 2525 Pasadena Avenue S, Suite 5, St Petersburg, FL 33707-4559 | 2012-02-22 |
| 1295942365 | Carolyn Marie Clarke | Nurse Practitioner | 4131 Central Ave, St Petersburg, FL 33713-8229 | 2007-05-17 |
| 1164582615 | Linda Diane Renshaw | Nurse Practitioner | 3050 1st Ave S, St Petersburg, FL 33712-1010 | 2006-12-12 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.