DR. JEANETTE A BEVILACQUA (NPI# 1083881684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083881684 |
| Entity Type | Individual |
| Full Name | DR. JEANETTE A BEVILACQUA |
| Credential | ARNP |
| Practice Address |
8660 College Pkwy 230 Fort Myers FL 33919-4886 |
| Practice Telephone | 2394331403 |
| Practice Fax Number | 2394335303 |
| Mailing Telephone | 2394331403 |
| Mailing Fax Number | 2394335303 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
ARNP 920292 | FL | Nursing Service Providers |
| Street Address |
8660 COLLEGE PKWY 230 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-4886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396796405 | Ralph Ronald Garramone Jr. | Plastic Surgery | 8660 College Pkwy, Suite 100, Fort Myers, FL 33919-4886 | 2006-05-13 |
| 1841543618 | Maria D Cabrera | Legal Medicine | 8660 College Pkwy, Suite#150, Fort Myers, FL 33919-4886 | 2012-10-18 |
| 1497007546 | First Sw Health Care Inc. | Clinic/Center | 8660 College Pkwy, Suite #150, Fort Myers, FL 33919-4886 | 2012-10-12 |
| 1811165897 | Alpha Home Care Services LLC | Home Health | 8660 College Pkwy, Suite 80, Fort Myers, FL 33919-4886 | 2008-02-13 |
| 1629276613 | Ellen Gordon Poage | Nurse Practitioner | 8660 College Pkwy, Suite 60, Fort Myers, FL 33919-4886 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528122660 | Carron C Cherrie | Registered Nurse | 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907 | 2006-12-21 |
| 1477037166 | Hadi Keylani | Registered Nurse | 3763 Evans Ave, Fort Myers, FL 33901 | 2018-09-19 |
| 1497259394 | Dina Esther Grodson | Registered Nurse | 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907-3655 | 2018-03-23 |
| 1861809998 | Katherine Kelly Lidz | Registered Nurse | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073474 | Charmaine A. Byrd | Registered Nurse | 214 Se Victoria Gln, Lake City, FL 32025-9308 | 2020-11-06 |
| 1447851076 | Robert James Dickinson | Registered Nurse | 303 Ravenswood Dr, Saint Augustine, FL 32084-3047 | 2020-11-02 |
| 1922616275 | Tasia Nadine Porter | Registered Nurse | 652 Ne 121st St, Biscayne Park, FL 33161-5510 | 2020-07-22 |
| 1801421714 | Daniel B Wright Np-c | Registered Nurse | 140 Island Way Unit 127, Clearwater, FL 33767-2216 | 2020-03-11 |
| 1891339099 | Shakila Moore | Registered Nurse | 29910 State Road 56, Wesley Chapel, FL 33543-8800 | 2019-10-30 |
| 1578118113 | Kerry Elizabeth Mattos | Registered Nurse | 5150 Central Sarasota Pkwy Apt 209, Sarasota, FL 34238-7623 | 2019-08-08 |
| 1588122386 | Janile Nelson | Registered Nurse | 1525 Sw Iffla Ave, Port St Lucie, FL 34953-6538 | 2019-03-11 |
| 1780141986 | Catherine Elaine Riley | Registered Nurse | 2130 Hopkins St, Orange Park, FL 32073-5220 | 2019-02-23 |
| 1205301942 | Phoenix Rehab Center Corp | Registered Nurse | 8500 W Flagler St Ste 106, Miami, FL 33144-2063 | 2018-10-09 |
| 1306352570 | Nikita L Jenkins | Registered Nurse | 1410 Ne 219th St, Lawtey, FL 32058-4387 | 2017-12-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on DR. JEANETTE A BEVILACQUA.
| 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.