JENNIFER LYNN RAKE (NPI# 1215447784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215447784 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN RAKE |
| Credential | PA-C |
| Practice Address |
77 W Granada Blvd Ormond Beach FL 32174-6302 |
| Practice Telephone | 3866770453 |
| Practice Fax Number | 3866770463 |
| Mailing Telephone | 3866770453 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9110633 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
77 W GRANADA BLVD |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568543379 | Cheryl Kimmel | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2006-10-18 |
| 1952911299 | Jennifer Michelle Anderson | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2020-08-02 |
| 1952943102 | Kimberly Wyn Weikel | Family Medicine | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2019-10-09 |
| 1922656149 | Kristin Marie Condon | Family Medicine | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2019-08-30 |
| 1467967240 | Monique Medina | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2017-12-03 |
| 1629435631 | Nancy Deeb | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2016-01-21 |
| 1336579580 | Lyudmila Cheban | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2013-11-24 |
| 1821250416 | Janice Marie Hill Watson | Nurse Practitioner | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2008-06-26 |
| 1326254962 | Ormond Medical Arts | Family Medicine | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2007-05-14 |
| 1194862748 | Cynthia A Dean | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093378416 | Angelica Ray Kraus | Physician Assistant | 128 Lynwood Ln, Ormond Beach, FL 32174-4229 | 2019-04-22 |
| 1548443518 | Erika Leigh Jacumin | Physician Assistant | 8 Mirror Lake Dr., Ormond Beach, FL 32174 | 2007-12-12 |
| 1437206711 | Matthew Henry Hoffman | Physician Assistant | 775 W Granada Blvd Ste 102, Ormond Beach, FL 32174-5109 | 2007-01-05 |
| 1568543379 | Cheryl Kimmel | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2006-10-18 |
| 1427143809 | Michelle B Johnston | Physician Assistant | 335 Clyde Morris Blvd Ste 290, Ormond Beach, FL 32174-3196 | 2006-10-03 |
| 1144299124 | Angel I Ribo | Physician Assistant | 305 Clyde Morris Blvd Ste 220, Ormond Beach, FL 32174-8187 | 2006-03-14 |
| 1952911299 | Jennifer Michelle Anderson | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2020-08-02 |
| 1831711464 | Nicole Carman | Physician Assistant | 1400 Hand Ave Ste K, Ormond Beach, FL 32174-8195 | 2020-05-18 |
| 1265073894 | Francisco Thor Fiol | Physician Assistant | 8 Mirror Lake Dr, Ormond Beach, FL 32174-3101 | 2019-10-04 |
| 1336792597 | Rachel Roxanne Sullivan | Physician Assistant | 298 S Yonge St, Ormond Beach, FL 32174-6264 | 2019-07-17 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.