JILLIAN CLAVENNA (NPI# 1538398441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538398441 |
| Entity Type | Individual |
| Full Name | JILLIAN CLAVENNA |
| Credential | PA |
| Practice Address |
8787 Bryan Dairy Rd Ste 360 Largo FL 33777-1260 |
| Mailing Address |
4651 Van Dyke Rd Lutz FL 33558-4880 |
| Practice Telephone | 8133211786 |
| Practice Fax Number | 8133211787 |
| Mailing Telephone | 8133211786 |
| Mailing Fax Number | 8133211787 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-01846 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9109794 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1834 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8787 BRYAN DAIRY RD STE 360 |
| City | LARGO |
| State | FL |
| Zip Code | 33777-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770726499 | Whitney Lapolla Delozier | Dermatology | 8787 Bryan Dairy Rd Ste 360, Largo, FL 33777-1260 | 2009-04-10 |
| 1326603143 | Ellen Michelle Toneff | Physician Assistant | 8787 Bryan Dairy Rd Ste 360, Largo, FL 33777-1260 | 2019-05-07 |
| 1083162135 | Jennifer P Hickman | Nurse Practitioner | 8787 Bryan Dairy Rd Ste 360, Largo, FL 33777-1260 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824194 | Michael Abenoja | Chiropractor | 9824 83rd Street, Seminole, FL 33777 | 2019-08-01 |
| 1922585405 | Patricia Ann Nickol | Developmental Therapist | 8988, 79th Ave N, Seminole, FL 33777 | 2018-07-26 |
| 1558748855 | Angel Flights, LLC | Ambulance | 10294 Shady Oak Lane, Seminole, FL 33777 | 2015-05-06 |
| 1831583350 | Cecilia Leticia Chandler | Nurse Practitioner | 9048 109th Terrace North, Largo, FL 33777 | 2015-03-23 |
| 1699024596 | Betsy Silverio | Social Worker | 8700 Flamevine Ave, Seminole, FL 33777 | 2012-09-06 |
| 1881965655 | Kayte Clifford | Speech-Language Pathologist | 9035 Bryan Dairy Road, Largo, FL 33777 | 2012-01-25 |
| 1750666913 | Lawrence Daniel Williams | Surgery | 8235 Lapin Ct., Seminole, FL 33777 | 2011-10-19 |
| 1033433107 | Josephine C Eligado | Anesthesiology | 8764 Baywood Park Drive, Seminole, FL 33777 | 2010-03-18 |
| 1811222847 | Clearwater Surgical Associates, Pllc | Surgery | 8839 Bryan Dairy Road, Suite 310, Largo, FL 33777 | 2009-10-08 |
| 1811154826 | Joseph J Arvilla | Registered Nurse | 9476 88th Terrace North, Seminole, FL 33777 | 2008-05-19 |
| Find all providers in zip 33777 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063908200 | Orthopaedic Specialties of West Florida | Physician Assistant | 561 4th St Sw, Largo, FL 33770-3515 | 2018-07-10 |
| 1679739429 | David Albert Freel | Physician Assistant | 307 Buttonwood Ln, Largo, FL 33770-4058 | 2008-07-31 |
| 1518929207 | Heather Lea Ngo | Physician Assistant | 13201 Walsingham Rd Ste 200, Largo, FL 33774 | 2006-04-06 |
| 1740459031 | Christine A Crevello | Physician Assistant | 148 13th St Sw, Largo, FL 33770-3127 | 2008-02-21 |
| 1508920026 | Melissa D Koliha | Physician Assistant | 1345 W Bay Dr Ste 301, Largo, FL 33770-2264 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| 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.