JESSICA TONKIN (NPI# 1487127379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487127379 |
| Entity Type | Individual |
| Full Name | JESSICA TONKIN |
| Practice Address |
12450 Roosevelt Blvd N St Petersburg FL 33716-1902 |
| Mailing Address |
8454 Dunham Station Dr Tampa FL 33647-3321 |
| Practice Telephone | 7275711688 |
| Mailing Telephone | 7274178019 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN11000780 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12450 ROOSEVELT BLVD N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841182 | Charmaine A. Carter | Internal Medicine | 12450 Roosevelt Blvd N, Suite 308, St Petersburg, FL 33716-1902 | 2005-09-19 |
| 1114386661 | Stephanie Anderson | Nurse Practitioner | 12450 Roosevelt Blvd N, Suite #101, St Petersburg, FL 33716-1902 | 2016-02-12 |
| 1194710871 | Colin Chan | Family Medicine | 12450 Roosevelt Blvd N, Suite 101, St Petersburg, FL 33716-1902 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780240721 | Brittany Michaela Gutschmidt | Nurse Practitioner | 1030 53rd Ave N, St Petersburg, FL 33703-2738 | 2019-05-15 |
| 1639726698 | Dana Marie Mlynarski | Nurse Practitioner | 3301 66th St N Ste A, St Petersburg, FL 33710-1547 | 2019-08-23 |
| 1508321969 | Rose Hanna Tyler | Nurse Practitioner | 3301 66th St N, St Petersburg, FL 33710-1547 | 2019-02-09 |
| 1497262984 | Lavanya Gopal | Nurse Practitioner | 3520 38th Ave N, St Petersburg, FL 33713 | 2018-01-05 |
| 1851814495 | Premier Health and Care for You | Nurse Practitioner | 3622 Central Ave, St Petersburg, FL 33711-1345 | 2017-07-25 |
| 1700327129 | Susan Maurer | Nurse Practitioner | 6600 30th Ave N, St Petersburg, FL 33710-3102 | 2017-03-17 |
| 1205372844 | Kory Turnow | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2017-01-06 |
| 1588019913 | Natalie Brooks | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2016-05-04 |
| 1659730422 | Alesia D Odums | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2016-02-22 |
| 1932505310 | Chandrika Patel | Nurse Practitioner | 2299 9th Ave N, Suite 1f, St Petersburg, FL 33713-6800 | 2014-11-12 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
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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.