NEREIDA JAIME (NPI# 1164979746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164979746 |
| Entity Type | Individual |
| Full Name | NEREIDA JAIME |
| Credential | FNP |
| Practice Address |
10925 State Road 54 New Port Richey FL 34655-2277 |
| Practice Telephone | 7273729030 |
| Mailing Telephone | 7273729030 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 209013486 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9494444 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9494444 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6836 Medical View Ln, Zephyrhills, FL 335426615 | 8137780454 | 8133771699 |
| 6447 W. Cermak Avenue, Berwyn, IL 60402 | 7732541400 | 7086560349 |
| 36763 Eiland Blvd Ste 102, Zephyrhills, FL 33542 | 8137780454 | 8133771699 |
| Street Address |
10925 STATE ROAD 54 |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34655-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528250677 | Dawn Willey | Nurse Practitioner | 10925 State Road 54, New Port Richey, FL 34655-2277 | 2007-08-13 |
| 1487286217 | Aimee Ann Davis | Nurse Practitioner | 10925 State Road 54, New Port Richey, FL 34655-2277 | 2020-02-10 |
| 1437559408 | Lakenya Chimere Wallace | Nurse Practitioner | 10925 State Road 54, New Port Richey, FL 34655-2277 | 2014-08-27 |
| 1942613211 | Rebecca A Jonas | Nurse Practitioner | 10925 State Road 54, New Port Richey, FL 34655-2277 | 2014-06-04 |
| 1649425448 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 10925 State Road 54, New Port Richey, FL 34655 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299265 | Stephanie Angela Moore | Nurse Practitioner | 10850 Navajo Dr, New Port Richey, FL 34654-5233 | 2020-06-10 |
| 1730732587 | Robert Kwan | Nurse Practitioner | 4905 Manor Dr, New Port Richey, FL 34652-6159 | 2019-07-22 |
| 1891357323 | Diana Hatton | Nurse Practitioner | 8215 State Road 54, New Port Richey, FL 34655-3016 | 2019-07-04 |
| 1487122297 | Kelle Christine Degroat | Nurse Practitioner | 10106 Hermosillo Dr., Street Address 2, New Port Richey, FL 34655-3465 | 2018-11-09 |
| 1841704988 | Kelly R Stryjewski | Nurse Practitioner | 6331 State Rd 54, New Port Richey, FL 34653 | 2017-11-28 |
| 1710381215 | Rachel Stewart | Nurse Practitioner | 7826 Grimsby Ln, New Port Richey, FL 34655-4264 | 2014-10-14 |
| 1790102796 | Bassam Kassem Radwan | Nurse Practitioner | 5340 Gulf Dr Ste 105, New Port Richey, FL 34652-3922 | 2014-03-27 |
| 1013343193 | Medical Housecall Services Inc | Nurse Practitioner | 6004 Riviera Ln, New Port Richey, FL 34655-5629 | 2013-09-19 |
| 1861743122 | Nancy Louise Dahl | Nurse Practitioner | 5004 Osprey Ln, New Port Richey, FL 34652-1111 | 2012-09-27 |
| 1134475627 | Kanwaljit K Sidhu | Nurse Practitioner | 10925 Sr 54, New Port Richey, FL 34655 | 2012-08-02 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34655 |
Please comment or provide details below to improve the information on NEREIDA JAIME.
| 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.