JESSICA AUSTIN (NPI# 1376953869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376953869 |
| Entity Type | Individual |
| Full Name | JESSICA AUSTIN |
| Credential | RN |
| Practice Address |
1239 E Main St Bartow FL 33830-5058 |
| Mailing Address |
Po Box 1559 Bartow FL 33831-1559 |
| Practice Telephone | 8635190575 |
| Mailing Telephone | 8635190575 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2016-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN 9371446 | FL | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN 9371446 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016476600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635014 | Jessica Austin | Specialist/Technologist | 518 S Fountain St, Cape Girardeau, MO 63703-7410 | 2019-08-21 |
| 1285244012 | Jessica Austin | Nurse Practitioner | 905 Hanshaw Rd Ste A, Ithaca, NY 14850-1549 | 2020-08-06 |
| 1922577329 | Jessica Rebecca Austin | Counselor | 144 Merrimack St Ste 302, Lowell, MA 01852-1710 | 2018-11-15 |
| 1003346388 | Jessica Harriman Austin | Internal Medicine | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2017-06-19 |
| 1093263824 | Jessica Austin | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2016-09-21 |
| 1508211459 | Jessica Austin | Social Worker | 1763 Fernside Dr, Toccoa, GA 30577-8095 | 2016-04-28 |
| 1023477130 | Jessica Austin | Licensed Practical Nurse | 1341 Market Ave N, Canton, OH 44714-2605 | 2016-02-17 |
| 1053663245 | Jessica J Austin | Speech-Language Pathologist | 14 E Casino Rd, Building C, Everett, WA 98208-2628 | 2012-10-11 |
| 1942582481 | Jessica Page Austin | Speech-Language Pathologist | 225 Vista Springs Cir, Lexington, SC 29072-8119 | 2011-09-11 |
| 1578711610 | Jessica Austin | Counselor | 839 Bestgate Rd, Annapolis, MD 21401-3472 | 2008-09-03 |
| Street Address |
1239 E MAIN ST |
| City | BARTOW |
| State | FL |
| Zip Code | 33830-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097767 | Peace River Center for Personal Development Inc | Psychiatric Residential Treatment Facility | 1239 E Main St, Bartow, FL 33830 | 2005-07-20 |
| 1821600495 | Jennifer Feliz | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-08-17 |
| 1831715937 | Camila Febres Cordero Ramirez | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-06-24 |
| 1255968509 | Cecilia Silva | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-26 |
| 1205463551 | Briana Silveira | Community Health Worker | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-26 |
| 1043846314 | Delois Mitchell | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-19 |
| 1518593185 | Qushawna Hamilton | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-16 |
| 1912532714 | Andrew Fleming | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-12 |
| 1003441841 | Edda Colon Aviles | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-11 |
| 1376177469 | Jessica Desantis | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667902 | Care 4 All | Family Medicine | 2020 Flamingo Drive, Bartow, FL 33830 | 2019-12-27 |
| 1366911638 | Suhog Project Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 260 W Van Fleet Dr Apt 41, Bartow, FL 33830 | 2018-11-16 |
| 1851836357 | Danielle Shoemaker | Pharmacist | 395 East Van Fleet Dr, Bartow, FL 33830 | 2016-12-20 |
| 1942681911 | Beatriz Garciaprieto Carmona | Internal Medicine | 2250 Osprey Blvd Ste 102, Bartow, FL 33830 | 2015-06-15 |
| 1538418843 | A Time for Sharing Global Ministries, Inc | Marriage & Family Therapist | 2389 E.f.griffin Road, 2, Bartow, FL 33830 | 2012-08-31 |
| 1235487000 | Evellar Marissa Mcallister | Nurse Practitioner | 1064 N Broadway Ave, Bartow, FL 33830 | 2012-08-27 |
| 1679821813 | Margaret Annette Nelson | Marriage & Family Therapist | 2389 E.f Griffin Road, Bartow, FL 33830 | 2012-08-20 |
| 1003104381 | Rocky Mountain Holdings LLC | Ambulance | 5581 Airport Blvd, Bartow, FL 33830 | 2011-07-20 |
| 1972733913 | Amy Curry | Surgery | 2000 Osprey Blvd Ste 205, Bartow, FL 33830 | 2009-07-24 |
| 1356532204 | Kids First Pediatrics Pa | Pediatrics | 2000 Osprey Blvd S, 107, Bartow, FL 33830 | 2007-08-06 |
| Find all providers in zip 33830 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205248457 | Byron Nichols | Registered Nurse | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2014-05-22 |
| 1164832655 | Yvonne L Chunn | Registered Nurse | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2014-05-06 |
| 1306256326 | Marsha L Robenstine | Registered Nurse | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2014-04-29 |
| 1356761787 | Carol Simpson | Registered Nurse | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2014-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073474 | Charmaine A. Byrd | Registered Nurse | 214 Se Victoria Gln, Lake City, FL 32025-9308 | 2020-11-06 |
| 1447851076 | Robert James Dickinson | Registered Nurse | 303 Ravenswood Dr, Saint Augustine, FL 32084-3047 | 2020-11-02 |
| 1922616275 | Tasia Nadine Porter | Registered Nurse | 652 Ne 121st St, Biscayne Park, FL 33161-5510 | 2020-07-22 |
| 1801421714 | Daniel B Wright Np-c | Registered Nurse | 140 Island Way Unit 127, Clearwater, FL 33767-2216 | 2020-03-11 |
| 1891339099 | Shakila Moore | Registered Nurse | 29910 State Road 56, Wesley Chapel, FL 33543-8800 | 2019-10-30 |
| 1578118113 | Kerry Elizabeth Mattos | Registered Nurse | 5150 Central Sarasota Pkwy Apt 209, Sarasota, FL 34238-7623 | 2019-08-08 |
| 1588122386 | Janile Nelson | Registered Nurse | 1525 Sw Iffla Ave, Port St Lucie, FL 34953-6538 | 2019-03-11 |
| 1780141986 | Catherine Elaine Riley | Registered Nurse | 2130 Hopkins St, Orange Park, FL 32073-5220 | 2019-02-23 |
| 1205301942 | Phoenix Rehab Center Corp | Registered Nurse | 8500 W Flagler St Ste 106, Miami, FL 33144-2063 | 2018-10-09 |
| 1306352570 | Nikita L Jenkins | Registered Nurse | 1410 Ne 219th St, Lawtey, FL 32058-4387 | 2017-12-22 |
| Find all providers with the same taxonomy | ||||
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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.