JACQUELINE DEBORAH SIMON (NPI# 1497200307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497200307 |
| Entity Type | Individual |
| Full Name | JACQUELINE DEBORAH SIMON |
| Credential | APRN, PMHNP-BC |
| Practice Address |
1400 E Oakland Park Blvd Ste 210 Oakland Park FL 33334-4400 |
| Practice Telephone | 9545616222 |
| Practice Fax Number | 9549907650 |
| Mailing Telephone | 9545616222 |
| Mailing Fax Number | 9549907650 |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2018-11-16 |
| 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 |
APRN9328821 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
APRN9328821 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101264100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7261 Sheridan St Ste 210, Hollywood, FL 330242708 | 9545616222 | 9549907650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427444348 | Jacqueline Ann Simon | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-04-07 |
| 1285786483 | Jacqueline Lisa Simon | Psychologist | 329 E 62nd St, New York, NY 10021-7705 | 2007-01-17 |
| Street Address |
1400 E OAKLAND PARK BLVD STE 210 |
| City | OAKLAND PARK |
| State | FL |
| Zip Code | 33334-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167224 | Sandra S Bauman | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2005-10-08 |
| 1942807367 | Osner Myrtel Etienne | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-10-08 |
| 1407462385 | Raphael Arturo Palacios | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-09-16 |
| 1952923245 | Marie Dorothy Hankins | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-05-11 |
| 1346876372 | Veronica Magloire | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-03-21 |
| 1871127688 | Sydney Kristina Barfield | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-03-02 |
| 1568007136 | Baharak Khabazghazvini | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2019-11-07 |
| 1396247359 | Omoniyi Fatai Mutiu | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2018-03-06 |
| 1477068476 | Whitney Janae Walker | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2017-12-12 |
| 1801340641 | Adriana Maria Aristizabal | General Practice | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334 | 2016-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245755644 | Fusion Health & Wellness LLC | Counselor | 1164 E Oakland Park Blvd Ste 102, Oakland Park, FL 33334 | 2017-08-07 |
| 1376064063 | The Senior Spot | Custodial Care Facility | 410 E Oakland Park Blvd., Wilton Manors, FL 33334 | 2017-07-03 |
| 1952831810 | Andrew Morgan | Counselor | 450 Ne 44th Street, Oakland Park, FL 33334 | 2017-06-14 |
| 1033561907 | Trevor Howe Hart | Dentist | 3425 N Dixie Hwy, Oakland Park, FL 33334 | 2016-07-05 |
| 1548646698 | Shelly Vilsaint | Massage Therapist | 120 E. Oakland Park Blvd, Suite 208, Fort Lauderdale, FL 33334 | 2015-07-30 |
| 1295129641 | Kristin Joann Biggie | Pediatrics | 5333 N Dixie Highway, Suite 106, Fort Lauderdale, FL 33334 | 2015-03-24 |
| 1235529116 | Rodolfo Herrera Barter | General Practice | 735 E Oakland Park Blvd, Oakland Park, FL 33334 | 2015-01-29 |
| 1639573629 | Garrick Edwards | Health Educator | 1501 Ne 62nd Street, Ft. Lauderdale, FL 33334 | 2014-10-20 |
| 1568877967 | Michael James Breen Jr. | Occupational Therapist | 1000 Corporate Dr #280, Centra Healthcare, Fort Lauderdale, FL 33334 | 2014-06-24 |
| 1144649161 | Passage Health International | Case Management | 701 E Commercial Blvd Fl 4, Oakland Park, FL 33334 | 2014-04-08 |
| Find all providers in zip 33334 | ||||
| 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 |
|---|---|---|---|---|
| 1639167224 | Sandra S Bauman | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2005-10-08 |
| 1942807367 | Osner Myrtel Etienne | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-10-08 |
| 1407462385 | Raphael Arturo Palacios | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-09-16 |
| 1952923245 | Marie Dorothy Hankins | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-05-11 |
| 1346876372 | Veronica Magloire | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-03-21 |
| 1871127688 | Sydney Kristina Barfield | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-03-02 |
| 1568007136 | Baharak Khabazghazvini | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2019-11-07 |
| 1639649544 | Holli Marie Jarzabek | Nurse Practitioner | 5757 N Dixie Hwy, Oakland Park, FL 33334-4135 | 2018-12-04 |
| 1477068476 | Whitney Janae Walker | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2017-12-12 |
| 1609315886 | Emmanuel Metzer Metayer | Nurse Practitioner | 1400 E Oakland Park Blvd, Ste 210, Oakland Park, FL 33334-4400 | 2017-02-21 |
| Find all providers in OAKLAND PARK | ||||
| City | OAKLAND PARK |
| Zip Code | 33334 |
Please comment or provide details below to improve the information on JACQUELINE DEBORAH SIMON.
| 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.