JENNIFER BUSTAMANTE (NPI# 1205290624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205290624 |
| Entity Type | Individual |
| Full Name | JENNIFER BUSTAMANTE |
| Practice Address |
7550 43rd St N Pinellas Park FL 33781-3601 |
| Practice Telephone | 7278248181 |
| Mailing Telephone | 7278248181 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS15163 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 W 68th St, Hialeah, FL 330161801 | 3053642107 | 3058228347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930667 | Jennifer M Bustamante | Registered Nurse | 206 La Paloma Apt 2, San Clemente, CA 92672-5147 | 2020-07-30 |
| Street Address |
7550 43RD ST N |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33781-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554186 | Martha S Folsom | Nurse Practitioner | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2005-08-03 |
| 1578046512 | Community Health Center of Pinellas Inc | Pharmacy | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2018-09-14 |
| 1265950570 | Jana Jankovska Meyer | Nurse Practitioner | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2017-09-07 |
| 1871018762 | Roanna Michelle Eggert | Nurse Practitioner | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2017-08-11 |
| 1629519137 | Alexander Mclean | Behavioral Analyst | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2017-03-16 |
| 1881149797 | Barbara Ileana De La Noval | Nurse Practitioner | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2016-08-20 |
| 1588018360 | Joyce Pushkine Joseph | Physician Assistant | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2016-04-19 |
| 1649664640 | Kinjal Patel Millette | Pediatrics | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2015-03-27 |
| 1083954465 | Esmeralda H Young | Nurse Practitioner | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2013-02-22 |
| 1851635650 | Lunette Castillo | Nurse Practitioner | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2012-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554134 | Tanthia Chanel Delgado | Social Worker | Sequel Care of Florida, 3491 Gandy Blvd, Pinellas Park, FL 33781 | 2020-06-26 |
| 1932722139 | Sunrise Retirement Home LLC | Assisted Living Facility | 4201 70th Ave North, Pinellas Park, FL 33781 | 2020-05-21 |
| 1790319119 | Third Phase Medical, LLC Dba Physical Therapy Now, Pinellas Park | Physical Medicine & Rehabilitation | 6661 49th Street North, Pinellas Park, FL 33781 | 2020-02-25 |
| 1275166621 | Michael Palon | Chiropractor | 6615 49th St N, Pinellas Park, FL 33781 | 2020-02-13 |
| 1679080790 | Hyde Psychological Services LLC | Psychologist | 8130 66th St. N, Suite 10, Pinellas Park, FL 33781 | 2018-01-10 |
| 1184135964 | Susan Nmi Washam | Counselor | 3491 Gandy Blvd, Suite 201, Pinelias Park, FL 33781 | 2017-10-19 |
| 1194131730 | Ivan Samcam | Emergency Medicine | 6640 78th Ave N Ste A, Pinellas Park, FL 33781 | 2014-07-03 |
| 1306278809 | Select Medical Products | Durable Medical Equipment & Medical Supplies | 6531 47th Street North, Pinellas Park, FL 33781 | 2013-08-07 |
| 1639515133 | Kabrena Michelle Williams | Behavioral Analyst | 5030 78th Ave N Ste 11, Pinellas Park, FL 33781 | 2013-05-11 |
| 1649614975 | Dennis Alexander Tenenboym | Podiatrist | 7800 66th St N Ste 207, Pinellas Park, FL 33781 | 2013-04-17 |
| Find all providers in zip 33781 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518313170 | Rishi Patel | Family Medicine | 6239 63rd Ln N, Pinellas Park, FL 33781-5279 | 2016-05-12 |
| 1861817108 | Florida Family Primary Care Centers of Pinellas, LLC | Family Medicine | 6245 66th St N, Pinellas Park, FL 33781-5025 | 2014-02-24 |
| 1548439466 | Debra P Figueroa Md | Family Medicine | 6026 Park Blvd, Pinellas Park, FL 33781-3228 | 2008-02-25 |
| 1750561387 | Peter Swain | Family Medicine | 6237 66th St N, Pinellas Park, FL 33781-5025 | 2007-11-12 |
| 1154542926 | William E Burt | Family Medicine | 6774 102nd Ave N, Pinellas Park, FL 33782 | 2007-05-01 |
| 1194756866 | Thomas E Mathias | Family Medicine | 6502 Park Blvd, Pinellas Park, FL 33781-3142 | 2006-07-05 |
| 1053356949 | Linh B. Nguyen, Md, Pa | Family Medicine | 5265 Park Blvd, Suite 100, Pinellas Park, FL 33781-3451 | 2006-06-17 |
| 1568411643 | Eduardo Jose Vejas Jr. | Family Medicine | 6245 66th St N # M, Pinellas Park, FL 33781-5025 | 2006-05-08 |
| 1518954734 | Ileen Y Herrero-szostak | Family Medicine | 8001 66th St N, Pinellas Park, FL 33781-2108 | 2005-10-03 |
| 1538166269 | Shari Alissa Berg | Family Medicine | 9365 Us Highway 19 N, Suite E, Pinellas Park, FL 33782-5400 | 2005-07-07 |
| Find all providers in PINELLAS PARK | ||||
| City | PINELLAS PARK |
| Zip Code | 33781 |
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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.