SIGNATURE STAFF SOLUTIONS, LLC (NPI# 1316369044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316369044 |
| Entity Type | Organization |
| Organization Name | SIGNATURE STAFF SOLUTIONS, LLC |
| Practice Address |
3830 Crown Point Rd Ste F Jacksonville FL 32257-7553 |
| Mailing Address |
138 Palm Coast Pkwy Ne # 258 Palm Coast FL 32137-8241 |
| Practice Telephone | 9046791819 |
| Practice Fax Number | 9046478096 |
| Mailing Telephone | 9046791819 |
| Mailing Fax Number | 9046478096 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | MATANA MANOMAT (ADMINISTRATOR) |
| Authorized Official Telephone | 9046791819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
1585 | FL | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 1585 | FL | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 1585 | FL | Other Service Providers |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
1585 | FL | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | 1585 | FL | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | 1585 | FL | Nursing Service Related Providers |
| Y | 163W00000X | Registered Nurse | 1585 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AHCA HEALTH CARE SERVICES POOL | 1585 | 01 |
| Street Address |
3830 CROWN POINT RD STE F |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-7553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406598 | Heidi Ellen Page | Registered Nurse | 3960 Marsh Bluff Dr, Jacksonville, FL 32226-4783 | 2020-11-01 |
| 1851998934 | Shekelia Jones Johnson | Registered Nurse | 3412 Natalie Dr S, Jacksonville, FL 32218-6532 | 2020-10-02 |
| 1598374365 | Dawn Bivins-davis | Registered Nurse | 4150 Beflort Rd, Suite 551642, Jacksonville, FL 32255 | 2020-07-28 |
| 1497383129 | Alice Gbelayan | Registered Nurse | 5858 Theed St, Jacksonville, FL 32211-4649 | 2020-03-30 |
| 1588295901 | Yashica Harris Smalls | Registered Nurse | 401 Ponderosa Dr, Jacksonville, FL 32218-0319 | 2020-02-04 |
| 1104461334 | Stacy Ann Scott-morrell | Registered Nurse | 342 E 46th St, Jacksonville, FL 32208-5480 | 2019-11-12 |
| 1215571641 | Belinda Fleischer | Registered Nurse | Guidewell, 4855 Town Center Parkway, Jacksonville, FL 32246-8437 | 2019-10-29 |
| 1922640234 | Rachel Kidder | Registered Nurse | 2478 Britney Lakes Ln, Jacksonville, FL 32221-3816 | 2019-10-09 |
| 1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
| 1275182073 | Dionne F Turner | Registered Nurse | 8201 Green Parrot Rd, Jacksonville, FL 32256-3280 | 2019-09-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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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.