JACQUELINE DIANE TIPPETT (NPI# 1194344820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194344820 |
Entity Type | Individual |
Full Name | JACQUELINE DIANE TIPPETT |
Credential | APRN, AGACNP-BC |
Practice Address |
610 Sw 2nd Ave Apt 1 Dania Beach FL 33004-3922 |
Practice Telephone | 9374750952 |
Mailing Telephone | 9374750952 |
Enumeration Date | 2020-04-13 |
Last Update Date | 2020-04-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN11006764 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
610 SW 2ND AVE APT 1 |
City | DANIA BEACH |
State | FL |
Zip Code | 33004-3922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861964470 | National Vision Inc | Technician/Technologist | 130 South Compass Way, Dania Beach, FL 33004 | 2018-12-20 |
1235475559 | Francisco Samuel Rosas | Internal Medicine | 368 E Dania Beach Blvd, Dania Beach, FL 33004 | 2012-12-13 |
1447587662 | Edward C Miller Od Pa | Optometrist | 1780 Stirling Rd. #101, Dania, FL 33004 | 2009-11-09 |
1215167804 | Richard Frederick Lowy | Pharmacist | 1618 South Federal Hwy., Dania Beach, FL 33004 | 2009-07-17 |
1851437461 | Dania Rexall Phcy and Med Supply | Pharmacy | 20-22 South Federal Highway, Dania Beach, FL 33004 | 2007-01-30 |
1477629574 | Dania Discount Drugs Inc | Pharmacy | 16-18 S Federal Hwy, Dania Beach, FL 33004 | 2006-11-28 |
1093746810 | Kidney Kare, Inc. | Durable Medical Equipment & Medical Supplies | 326 East Dania Beach Blvd., Dania, FL 33004 | 2006-07-06 |
1689656415 | Rahna Judith Grindahl | Optometrist | 599 So. Federal Hwy., Dania Beach, FL 33004 | 2005-11-17 |
1891197471 | Terri Knight | Speech-Language Pathologist | 440 Phippen Waiters Rd, Dania Beach, FL 33004 | 2014-09-25 |
1144640624 | Malika Rahaman | Family Medicine | 1815 Griffin Rd Ste 410, Dania Beach, FL 33004 | 2014-04-23 |
Find all providers in zip 33004 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
Find all providers with the same taxonomy |
City | DANIA BEACH |
Zip Code | 33004 |
Please comment or provide details below to improve the information on JACQUELINE DIANE TIPPETT.
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.