JACQULYN YACKEL (NPI# 1407204704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407204704 |
| Entity Type | Individual |
| Full Name | JACQULYN YACKEL |
| Practice Address |
2960 Roosevelt Blvd Clearwater FL 33760-1952 |
| Mailing Address |
Po Box 10970 St Petersburg FL 33733-0970 |
| Practice Telephone | 7273277656 |
| Practice Fax Number | 7273222110 |
| Mailing Telephone | 7273277656 |
| Mailing Fax Number | 7273222110 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9236546 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2960 ROOSEVELT BLVD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33760-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154394161 | Cynthia A Zelesnik | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2006-02-09 |
| 1376144592 | Alexa Denise Walker | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2020-11-04 |
| 1336746064 | Cinthya Dominguez | Counselor | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2020-10-06 |
| 1023628088 | Molly England | Counselor | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2020-08-05 |
| 1891304150 | Cheryl Ann Pruitt | Counselor | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2020-07-23 |
| 1457979882 | Whitney Elizabeth Harrell | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2020-07-13 |
| 1427670991 | Kelli Deaton | Assistant Behavior Analyst | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2020-05-07 |
| 1992330120 | Annielle Timmons | Behavioral Analyst | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2020-03-09 |
| 1548893423 | Yasmina Pandharpurwala | Social Worker | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2020-02-19 |
| 1679111934 | Renee Slyvia Jones | Counselor | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2019-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053813444 | Enver Ruzdija Arnp LLC | Clinic/Center | 14690 Sugar Cane Way, Clearwater, FL 33760 | 2018-03-01 |
| 1528577087 | Csi-pediatric Services, Inc | Clinic/Center | 5291 110th Ave, Clearwater, FL 33760 | 2017-09-27 |
| 1457877094 | Healthcare Alliance LLC | In Home Supportive Care | 13575 58 St N, Ste 178, Clearwater, FL 33760 | 2017-08-15 |
| 1497208805 | 211 Tampa Bay Cares, Inc. | Voluntary or Charitable | 14155 58th Street North, Suite 211, Clearwater, FL 33760 | 2016-08-02 |
| 1760885503 | Amanda Pawlik | Physical Therapist | 13830 58th St. N., Suite 409, Clearwater, FL 33760 | 2014-10-08 |
| 1871842252 | Christine Lynne Felix | Radiology | 2028 Arbor Drive, Clearwater, FL 33760 | 2012-08-31 |
| 1194072017 | Anna Mccord | Speech-Language Pathologist | 13575 58th Street North, Clearwater, FL 33760 | 2012-08-09 |
| 1245460195 | Patricia Kathrine Clay | Occupational Therapist | 4902 Creekside Dr Ste A, Clearwater, FL 33760 | 2009-07-24 |
| 1346447992 | Tms Management Group, Inc. | Transportation Broker | 16331 Bay Vista Dr, Clearwater, FL 33760 | 2007-06-28 |
| 1730266461 | Joan Marie Jannino | Social Worker | 2188 58th St. N., Clearwater, FL 33760 | 2006-11-01 |
| Find all providers in zip 33760 | ||||
| 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 |
|---|---|---|---|---|
| 1518311653 | Svg Mental Health Solutions Pllc | Nurse Practitioner | 806 Harbor Is, Clearwater, FL 33767-1806 | 2016-04-14 |
| 1477563419 | Amy Ballou | Nurse Practitioner | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2006-08-09 |
| 1134761802 | Cynthia Vance Morris | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-10-14 |
| 1609426378 | Maurice Foster | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-09-16 |
| 1144880980 | Cassandra Beck | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-06-14 |
| 1336614114 | Naoko Hurvitz | Nurse Practitioner | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2018-10-09 |
| 1255819900 | Joshua Drew Barnes | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2018-08-04 |
| 1326547985 | Gwendolyn Newton | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2018-02-08 |
| 1962925446 | Stephanie Stuart | Nurse Practitioner | 14400 49th St N, Clearwater, FL 33762-2890 | 2017-07-17 |
| 1881051514 | Lynn Morgan | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2016-01-26 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33760 |
Please comment or provide details below to improve the information on JACQULYN YACKEL.
| 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.