JASON SHULL (NPI# 1396296729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396296729 |
| Entity Type | Individual |
| Full Name | JASON SHULL |
| Credential | ARNP |
| Practice Address |
14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 |
| Practice Telephone | 9544751300 |
| Mailing Telephone | 9544751300 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9312520 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669870853 | Jason Shull | Specialist/Technologist | 533 Shannon Dr, Lexington, NC 27292-8425 | 2014-12-20 |
| Street Address |
14050 NW 14TH ST SUITE 190 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771576 | Daphne Marian Pitts | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2005-06-24 |
| 1356726848 | Christopher Toney | Nurse Practitioner | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2015-07-25 |
| 1952664161 | Baby Vasanthi Kodali | Internal Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2012-06-21 |
| 1891006490 | Brian Bassem Ibrahim | Family Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2010-06-29 |
| 1386961167 | Justin Noel Dzik | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2010-05-03 |
| 1215131966 | Frank James Garber | Nurse Practitioner | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2007-06-14 |
| 1831237692 | Alfa Omar Diallo | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2007-02-02 |
| 1003921552 | Hemangini J Mehta | Internal Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2006-08-21 |
| 1336171719 | Neil Leonard Christen | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2006-07-07 |
| 1164459749 | Neil David Stern | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1831431121 | Michelle Ferguson | Nurse Practitioner | 4279 Nw 88th Ave, Sunrise, FL 33351-6044 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| 1316573108 | Alceste Villasuso | Nurse Practitioner | 951 Brickell Ave Apt 710, Miami, FL 33131-3933 | 2020-03-12 |
| 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.