JENNIFER SHIELDS (NPI# 1366867608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366867608 |
| Entity Type | Individual |
| Full Name | JENNIFER SHIELDS |
| Practice Address |
928 22nd Ave S Saint Petersburg FL 33705-2934 |
| Mailing Address |
Po Box 10970 Saint Petersburg FL 33733-0970 |
| Practice Telephone | 7273277656 |
| Mailing Telephone | 7273277656 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH12345 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497188262 | Jennifer Michelle Shields | Licensed Practical Nurse | 117 Harrison St, Middletown, OH 45042-3204 | 2013-08-15 |
| 1811256803 | Jennifer C Shields | Occupational Therapy Assistant | 1280 Caldera Dr, Colorado Springs, CO 80904-2982 | 2012-05-10 |
| 1821285529 | Jennifer Dawn Shields | Social Worker | 1484 S 500 E, Kaysville, UT 84037-3033 | 2007-09-27 |
| 1972632743 | Jennifer Lynn Shields | Social Worker | 410 W University Dr Ste 130, Rochester, MI 48307-1938 | 2007-03-05 |
| 1336761717 | Jennifer L Shields | Student in an Organized Health Care Education/Training Program | Baystate Medical Center 759 Chestnut St, Springfield, MA 01199-1001 | 2020-05-08 |
| 1558998377 | Jennifer Daer Shields | Psychologist | 1100 Ne 13th St, Oklahoma City, OK 73117-1039 | 2020-03-23 |
| 1366927162 | Jennifer Shields | Physical Therapist | 2000 Empire Blvd Bldg 2, Webster, NY 14580-1957 | 2018-09-27 |
| 1114459435 | Jennifer Evelyn Shields | Student in an Organized Health Care Education/Training Program | 22 S Greene St, Baltimore, MD 21201-1544 | 2017-03-28 |
| 1821485707 | Jennifer Lynn Shields | Nurse Practitioner | 3920 Bee Ridge Rd, Bldg E, Suite H, Sarasota, FL 34233-1207 | 2015-04-19 |
| 1922402031 | Jennifer Shields | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2014-10-17 |
| Street Address |
928 22ND AVE S |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33705-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447763818 | Tangy Cherie Small | Registered Nurse | 928 22nd Ave S, Saint Petersburg, FL 33705-2934 | 2017-11-08 |
| 1982873816 | Family Service Centers, Inc. | Community/Behavioral Health | 928 22nd Ave S, Saint Petersburg, FL 33705-2934 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814314 | Juanita Suber Athy | Counselor | 2900 Pallanza Dr S, Saint Petersburg, FL 33705-3608 | 2020-09-03 |
| 1649880949 | Alan Cyr | Counselor | 433 Rotary Pl Ne, Saint Petersburg, FL 33703-1540 | 2020-08-03 |
| 1013554435 | Samantha Brustad | Counselor | 9887 4th St N Ste 319, Saint Petersburg, FL 33702-8445 | 2019-12-04 |
| 1740751171 | Rmr Counseling LLC | Counselor | 2961 1st Ave N Ste F, Saint Petersburg, FL 33713-8605 | 2018-12-11 |
| 1033658810 | Jennifer Sewell | Counselor | 3900 Shore Acres Blvd Ne, Saint Petersburg, FL 33703-5404 | 2017-02-14 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1174993596 | Nicolette Laine Guzie | Counselor | 2100 45th Ave N, Saint Petersburg, FL 33714-4136 | 2015-09-28 |
| 1427438662 | Denise Eva Gibbons | Counselor | 1735 Dr Martin Luther King St S, Saint Petersburg, FL 33705-2404 | 2015-06-03 |
| 1174921977 | New Transition Therapy, LLC | Counselor | 400 39th Ave S, Saint Petersburg, FL 33705-3936 | 2014-12-10 |
| 1225465586 | David Martin Loggans II | Counselor | 4501 33rd Ave N, Saint Petersburg, FL 33713-1103 | 2013-10-02 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on JENNIFER SHIELDS.
| 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.