DR. JESSICA QUEZADA (NPI# 1558524728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558524728 |
| Entity Type | Individual |
| Full Name | DR. JESSICA QUEZADA |
| Credential | M.D. |
| Practice Address |
8900 Se 165th Mulberry Ln The Villages FL 32162-5884 |
| Mailing Address |
2915 Etowah Park Blvd Tavares FL 32778-2002 |
| Practice Telephone | 3526745000 |
| Mailing Telephone | 2016003175 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2015-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ACN402 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 17180 | PR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821645664 | Jessica Quezada | Nurse Practitioner | 2100 Sanders Rd Ste 100, Northbrook, IL 60062-6199 | 2019-08-26 |
| 1891337481 | Jessica Quezada | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-10-15 |
| 1033671318 | Jessica Quezada | Behavior Technician | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2019-04-04 |
| 1710446364 | Jessica Quezada | Registered Nurse | 5983 S Redwood Rd, Taylorsville, UT 84123-5261 | 2019-03-13 |
| Street Address |
8900 SE 165TH MULBERRY LN |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-5884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004647 | Pedro A. Betances | General Practice | 8900 Se 165th Mulberry Ln, North Florida / South Georgia Veterans Health System, The Villages, FL 32162-5884 | 2005-06-27 |
| 1902205743 | Caroline Marie Sutton | Pharmacist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2014-08-18 |
| 1336569664 | James Huber | Pharmacist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2014-04-25 |
| 1902238314 | Brian David Fisher | Optometrist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2013-08-08 |
| 1619228640 | Susan Marie Forbes | Psychologist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2012-10-01 |
| 1225386394 | Margarita Ana Graeber | Psychologist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2012-08-21 |
| 1205181591 | Debra Bates | Social Worker | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2012-07-23 |
| 1013218346 | Jessica Lyn Siegel | Pharmacist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-11-03 |
| 1710287974 | Diana Martir | Spec/Tech, Pathology | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-10-21 |
| 1881904522 | Shawnda Mcintosh | Physical Therapist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2010-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174769954 | Delvy Rosado Larroy | General Practice | 165th Mulberry Lane, 8900 Se, The Villages, FL 32162 | 2008-12-27 |
| 1790939015 | Tj Mcnichol | General Practice | 910 Old Camp Rd Ste 114, The Villages, FL 32162-5605 | 2008-11-13 |
| 1326226663 | Earl D Hearst | General Practice | 467 Kilmer Way, The Villages, FL 32162-5085 | 2008-02-08 |
| 1922004647 | Pedro A. Betances | General Practice | 8900 Se 165th Mulberry Ln, North Florida / South Georgia Veterans Health System, The Villages, FL 32162-5884 | 2005-06-27 |
| 1144740150 | Cameron Frederick | General Practice | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2017-06-21 |
| 1568889053 | Carmen Brito Antonio | General Practice | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2014-03-24 |
| 1699012922 | The Villages Health System LLC | General Practice | 280 Farner Pl, The Villages, FL 32163-6066 | 2013-01-07 |
| 1689814774 | Chascione Management LLC | General Practice | 13940 N Us Highway 441, Suite 906, The Villages, FL 32159-8908 | 2009-03-02 |
| 1851537633 | Ileana Aponte-camacho | General Practice | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2008-12-27 |
| 1164619367 | Cesar Corretjer Russi | General Practice | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2007-10-02 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
Please comment or provide details below to improve the information on DR. JESSICA QUEZADA.
| 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.