JESSICA AVILA


Address: 603 N Flamingo Road, Ste 157, Pembroke Pines, FL 33028
Phone: 9542654325

JESSICA AVILA (NPI# 1306106844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306106844
Entity Type Individual
Full Name JESSICA AVILA
Credential ARNP
Practice Address 603 N Flamingo Road
Ste 157
Pembroke Pines
FL 33028
Mailing Address 2900 Corporate Way
Door D
Miramar
FL 33025-3925
Practice Telephone 9542654325
Practice Fax Number 9544385191
Mailing Telephone 9542765685
Enumeration Date 2012-05-17
Last Update Date 2018-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP 9250148 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE SHIELD OF FLORIDA Y0C13 01
FL AETNA 9208882 01

Other Providers JESSICA AVILA

NPI Name Taxonomy Address Enumeration
1629345566 Jessica Lizette Avila Case Manager/Care Coordinator 501 Chester Ave, A, Bakersfield, CA 93301-5402 2011-11-21
1508478439 Jessica Lynn Avila Nurse Practitioner 6161 S Yale Ave, Tulsa, OK 74136-1902 2020-08-21
1407465297 Jessica L Avila Licensed Practical Nurse 1 Elizabeth Pl, Dayton, OH 45417-3445 2020-07-28
1619503844 Jessica Avila Behavior Technician 5959 West Loop S Ste 202, Bellaire, TX 77401-2420 2020-03-19
1023597788 Jessica Avila Rehabilitation Practitioner 19231 Victory Blvd, Reseda, CA 91335-6308 2018-08-13
1780113795 Jessica Avila Social Worker 018 Sw Boundary Ct, Portland, OR 97239-3939 2017-06-05
1285906685 Jessica Avila Case Manager/Care Coordinator 520 Dudley St, Roxbury, MA 02119-2769 2012-01-31

Office Location

Street Address 603 N FLAMINGO ROAD
STE 157
City PEMBROKE PINES
State FL
Zip Code 33028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649578535 Michelle Lynn Baechle Physician Assistant 603 N Flamingo Road, Suite 350, Pembroke Pines, FL 33028-1013 2011-03-02
1699221499 Nuria Contreras Nurse Practitioner 603 N Flamingo Road, Ste 255, Pembroke Pines, FL 33028 2016-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821570276 Grace Olivine Lue Nurse Practitioner 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 2018-09-02
1336658194 Edna Daniel Registered Nurse 16213 Nw 18th Street, Pembroke Pines, FL 33028 2017-09-25
1093257032 Carlos Eduardo Florian Jr. Physical Therapist 701 North Flamingo Road, Pembroke Pines, FL 33028 2016-11-08
1760868574 Clara Elisa Delgado Nurse Practitioner 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 2015-08-04
1942614375 Emmanuel Magboo Physical Therapist 1563 Nw 159 Lane, Pembroke Pines, FL 33028 2014-06-13
1134546302 Tahnie Danastor Obstetrics & Gynecology 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 2014-03-25
1316388200 Mirella Silva-bass Counselor 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 2013-07-09
1932447364 Grazia Oropesa Nurse Practitioner 12824 Nw 21st St, Pembroke Pines, FL 33028 2013-01-18
1548545320 Rita Galliano Speech-Language Pathologist 1261 Nw 141st Ave, Pembroke Pines, FL 33028 2011-10-12
1033429949 Paulette Paul Registered Nurse 15575 N.w. 12th Court, Pembroke Pines, FL 33028 2010-10-13
Find all providers in zip 33028

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619574845 Evelyn Ehiremhen Osakwe Nurse Practitioner 464 Sw 205th Ave, Pembroke Pines, FL 33029-5010 2020-10-01
1194332742 Ashley Killings Nurse Practitioner 9966 Nw 10th St, Pembroke Pines, FL 33024-4305 2020-09-28
1427679570 Novia Markes Nurse Practitioner 12389 Pembroke Rd, Pembroke Pines, FL 33025-1723 2020-04-29
1598302176 Sergelyne Desousces Nurse Practitioner 11882 Sw 16th St, Pembroke Pines, FL 33025-3796 2019-12-03
1548801574 Lauren Michelle Urquiza Nurse Practitioner 501 Nw 88th Ave, Pembroke Pines, FL 33024-6527 2019-10-01
1174095921 Knovano Salmon Nurse Practitioner 11970 Sw 12th St Bldg 109, Pembroke Pines, FL 33025-5723 2018-12-18
1427533868 Erick Benjamin Perez Nurse Practitioner 17626 Sw 10th St, Pembroke Pines, FL 33029-4845 2018-10-02
1154800233 Meirav Greenberg Nurse Practitioner 601 N Flamingo Rd Ste 411, Pembroke Pines, FL 33028-1012 2018-08-09
1215414115 Elizabeth Jose Nurse Practitioner 1810 Nw 125th Ter, Pembroke Pines, FL 33028-2551 2018-07-24
1275019192 Daphia Tachia Collins Nurse Practitioner 14627 Sw 5th St, Pembroke Pines, FL 33027-6113 2018-07-13
Find all providers in PEMBROKE PINES

Competitor

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City PEMBROKE PINES
Zip Code 33028

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Dataset Information

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.

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