JESSICA AVILA (NPI# 1306106844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP 9250148 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE SHIELD OF FLORIDA | Y0C13 | 01 |
FL | AETNA | 9208882 | 01 |
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 |
Street Address |
603 N FLAMINGO ROAD STE 157 |
City | PEMBROKE PINES |
State | FL |
Zip Code | 33028 |
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 |
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 Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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 |
City | PEMBROKE PINES |
Zip Code | 33028 |
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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.