DR. JENNIFER AMY CRISCOLA (NPI# 1255560363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255560363 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER AMY CRISCOLA |
| Credential | M.D. |
| Practice Address |
601 5th St S Saint Petersburg FL 33701-4804 |
| Practice Telephone | 7277674343 |
| Practice Fax Number | 7277674331 |
| Mailing Telephone | 7277674343 |
| Mailing Fax Number | 7277674331 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME124844 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
601 5TH ST S |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33701-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235558420 | Rida Javaid | Pediatrics | 601 5th St S, Saint Petersburg, FL 33701-4804 | 2014-04-15 |
| 1003231267 | Aimen Elmehdi Ben Ayad | Pediatrics | 601 5th St S, Saint Petersburg, FL 33701-4804 | 2014-02-25 |
| 1700124740 | Lauren Michelle Gardner | Psychologist | 601 5th St S, Saint Petersburg, FL 33701-4804 | 2013-01-25 |
| 1588947725 | Beatriz Teppa | Pediatrics | 601 5th St S, Saint Petersburg, FL 33701-4804 | 2011-09-23 |
| 1598043390 | Courtney Cali Titus | Physician Assistant | 601 5th St S, All Children's Specialty Physicians Occ, Suite 501, Saint Petersburg, FL 33701-4804 | 2011-07-27 |
| 1518269745 | Timothy Peter Schmidt | Registered Nurse | 601 5th St S, 5th Floor, Dept 6941, Saint Petersburg, FL 33701-4804 | 2010-11-19 |
| 1033437991 | Scott D Mckinley | Pediatrics | 601 5th St S, Ste 708 Dept 3012, Saint Petersburg, FL 33701-4804 | 2010-05-17 |
| 1427211044 | Debora Alice Hill-ray | Nurse Practitioner | 601 5th St S, Suite 510, Saint Petersburg, FL 33701-4804 | 2008-07-03 |
| 1194992594 | Carrie Evans Herbert | Pediatrics | 601 5th St S, Saint Petersburg, FL 33701-4804 | 2008-05-14 |
| 1053590273 | Jennifer Woodard Leiding | Allergy & Immunology | 601 5th St S, Box# 7890, Saint Petersburg, FL 33701-4804 | 2007-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588947725 | Beatriz Teppa | Pediatrics | 601 5th St S, Saint Petersburg, FL 33701-4804 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578853 | Erica Stoller | Pediatrics | 1117 E Hallandale Beach Blvd Ste 1, Hallandale Beach, FL 33009-4488 | 2019-09-24 |
| 1629323001 | Hamza Saeed Elkhidir | Pediatrics | 11252 Sw Kingslake Cir, Port St Lucie, FL 34987-2761 | 2012-07-20 |
| 1629331004 | Natalie Victoria Roebuck Bishop | Pediatrics | 1600 S Andrews Ave Fl Picu7, Fort Lauderdale, FL 33316-2510 | 2012-06-20 |
| 1598061574 | Jennifer Christine Munoz Pareja | Pediatrics | 1611 Nw 12th Ave Fl 6006, Miami, FL 33136-1005 | 2011-02-08 |
| 1720382054 | Ricardo A Queiro | Pediatrics | 1421 Sorolla Ave, Coral Gables, FL 33134-3519 | 2010-12-30 |
| 1245534593 | Carmen E Ocampo Benavides | Pediatrics | 1420 Brickell Bay Dr, Apt #907, Miami, FL 33131-3606 | 2010-12-30 |
| 1114044146 | Chad D Scheller | Pediatrics | 3501 Johnson St Dept Of, Hollywood, FL 33021 | 2007-03-23 |
| 1942370416 | Pediatric Hospital Services of Southwest Florida | Pediatrics | 157 Dockside Cir, Weston, FL 33327-1101 | 2006-11-09 |
| 1861577256 | Mark Swanson | Pediatrics | 92 West Miller Street, Orlando, FL 32806 | 2006-10-26 |
| 1841374295 | Enzo Javier Garcia | Pediatrics | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33701 |
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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.