JILL M HUNTZINGER (NPI# 1336686534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336686534 |
Entity Type | Individual |
Full Name | JILL M HUNTZINGER |
Credential | NP-C |
Practice Address |
3901 Coconut Palm Dr Ste 120 Tampa FL 33619 |
Mailing Address |
3901 Coconut Palm Dr Ste 120 Tampa FL 33619-8362 |
Practice Telephone | 3504474150 |
Practice Fax Number | 8655607088 |
Mailing Telephone | 3054474150 |
Mailing Fax Number | 8655607088 |
Enumeration Date | 2017-01-25 |
Last Update Date | 2020-01-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.020464 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
11001933 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 104085000 | 05 | |
OH | 0225289 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3000 Arlington Ave., Toledo, OH 436142589 | 4193833888 | 4193832860 |
Street Address |
3901 COCONUT PALM DR STE 120 |
City | TAMPA |
State | FL |
Zip Code | 33619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740288521 | Achyut Natvarial Gandhi | Emergency Medicine | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2005-07-14 |
1386179109 | Ngoc Bich Luong | Physician Assistant | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2017-04-30 |
1235661356 | Montoo G. Patel | Nurse Anesthetist, Certified Registered | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2017-03-29 |
1861805905 | Samuel Borrelli | Internal Medicine | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2014-06-06 |
1043503436 | Abduljabbar Al Tekreeti | Internal Medicine | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2011-05-18 |
1962567552 | Kevin Gormley | Counselor | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2006-12-26 |
1881708782 | Ewa D. Piszczek | Internal Medicine | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2006-08-18 |
1952335390 | Steven M Schwartz | Emergency Medicine | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2006-07-10 |
1992746879 | After Hours Pediatrics, Inc. | Pediatrics | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
Find all providers in zip 33619 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
1649763012 | Elizabeth Rose Pare | Nurse Practitioner | 2901 W Saint Isabel St Ste D, Tampa, FL 33607-6350 | 2018-06-11 |
1568909620 | Chinyere Obi | Nurse Practitioner | 1434 Villena Ave Apt 304, Tampa, FL 33612-5035 | 2017-01-27 |
1164867180 | Marilynn G Bozak | Nurse Practitioner | 11716 Plumosa Rd, Tampa, FL 33618-3624 | 2013-05-03 |
1770812638 | Yvonne D. King | Nurse Practitioner | 4420 Cobia Dr, Tampa, FL 33617-8206 | 2009-12-23 |
1881921203 | Lois Allen Schifino | Nurse Practitioner | 4607 W. Bay To Bay Blvd., Tampa, FL 33629-7610 | 2009-11-05 |
1093049736 | Ricia J Mathew | Nurse Practitioner | 1201 Orient Rd, Tampa, FL 33619-3325 | 2009-09-29 |
1285896076 | Nancy C. Ross | Nurse Practitioner | 2410 N Riverside Dr, Tampa, FL 33602-1840 | 2008-07-02 |
1346280161 | John P Mcdonough IIi | Nurse Practitioner | 2223 Shadehill Ct, Tampa, FL 33612-5024 | 2006-06-08 |
1164424834 | Cynthia Anne Parsons | Nurse Practitioner | 3333 W Kennedy Blvd, Suite 106, Tampa, FL 33609-2976 | 2005-08-12 |
Find all providers in TAMPA |
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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.