MR. JESSE FAZZINGO (NPI# 1316487218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316487218 |
| Entity Type | Individual |
| Full Name | MR. JESSE FAZZINGO |
| Credential | ARNP |
| Practice Address |
1301 Plantation Island Dr S Suite 302a St Augustine FL 32080-3108 |
| Mailing Address |
1301 Plantation Island Dr S Ste 302a Saint Augustine FL 32080-3117 |
| Practice Telephone | 9044619330 |
| Mailing Telephone | 9044619330 |
| Mailing Fax Number | 9044619331 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9241959 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 PLANTATION ISLAND DR S SUITE 302A |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32080-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900893 | Melchor G Barros | Family Medicine | 1301 Plantation Island Dr S, 102-b, St Augustine, FL 32080-3108 | 2005-08-26 |
| 1407390529 | Nakisha Marie Carrasquillo-richardson | Psychologist | 1301 Plantation Island Dr S, Ste. 201 A, St Augustine, FL 32080-3108 | 2016-12-08 |
| 1841733268 | Ronda Jo Jarvis | Social Worker | 1301 Plantation Island Dr S, Suite 201a, St Augustine, FL 32080-3108 | 2016-12-03 |
| 1528510047 | Michelle Murray Craun | Marriage & Family Therapist | 1301 Plantation Island Dr S, 201b, St Augustine, FL 32080-3108 | 2016-11-01 |
| 1730549817 | Physician Associates Group, Inc. | Psychiatry & Neurology | 1301 Plantation Island Dr S, Suite 201-a, St Augustine, FL 32080-3108 | 2016-03-02 |
| 1770942260 | Northeast Florida Endocrine and Diabetes Associates, Pa | Specialist | 1301 Plantation Island Dr S, Suite 203a, St Augustine, FL 32080-3108 | 2016-02-12 |
| 1518339761 | Cindy O Chaconas | Physical Therapist | 1301 Plantation Island Dr S, Suite 203a, St Augustine, FL 32080-3111 | 2015-10-28 |
| 1033528872 | Michael Hines | Hearing Instrument Specialist | 1301 Plantation Island Dr S, Suite 401b, St Augustine, FL 32080-3108 | 2014-08-06 |
| 1790086429 | Harbour Island Pediatrics | Pediatrics | 1301 Plantation Island Dr S, Suite 106-b, St Augustine, FL 32080-3108 | 2010-11-11 |
| 1962719492 | Alejandro Navarro | Physician Assistant | 1301 Plantation Island Dr S, Ste 140, St Augustine, FL 32080-3108 | 2010-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948871 | Rachel Annette Tax | Nurse Practitioner | 325 Sunset Dr, St Augustine, FL 32080-9101 | 2020-10-07 |
| 1386260354 | Kristina Marie Hanlon | Nurse Practitioner | 119 Old Field Ln, St Augustine, FL 32092-1928 | 2020-06-24 |
| 1356977888 | Carol Christine Sickels | Nurse Practitioner | 206 Circle Dr E, St Augustine, FL 32084-0868 | 2020-03-16 |
| 1518501832 | Amanda Allen | Nurse Practitioner | 6936 Cypress Spring Ct, St Augustine, FL 32086-4818 | 2019-10-30 |
| 1023576360 | Folasade Sanusi Olushola | Nurse Practitioner | 2604 Torino Way, St Augustine, FL 32092-4784 | 2019-03-06 |
| 1326502600 | Ashley Fisher Roussell | Nurse Practitioner | 2720 Us Highway 1 S Ste B, St Augustine, FL 32086-6371 | 2019-01-30 |
| 1336658103 | Nena Sheryl Morden | Nurse Practitioner | 100 Whetstone Pl Ste 205, St Augustine, FL 32086-5775 | 2017-09-25 |
| 1245770742 | Linda Gillis | Nurse Practitioner | 143 Portada Dr, St Augustine, FL 32095-1634 | 2017-03-02 |
| 1457779316 | Candace Smith | Nurse Practitioner | 2513 Otter Totem Ct, St Augustine, FL 32092-2445 | 2014-03-28 |
| 1720328321 | Sharon Lynn Steinmetz | Nurse Practitioner | 6170 A1a S Unit 304, St Augustine, FL 32080-7537 | 2013-02-20 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
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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.