JESICA CLEVELAND ARCHIE (NPI# 1588974869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588974869 |
Entity Type | Individual |
Full Name | JESICA CLEVELAND ARCHIE |
Credential | MSN |
Practice Address |
1720 S Orange Ave Orlando FL 32806-2945 |
Practice Telephone | 4075401000 |
Practice Fax Number | 4075401011 |
Mailing Telephone | 4075401000 |
Mailing Fax Number | 4075401011 |
Enumeration Date | 2010-10-20 |
Last Update Date | 2020-04-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN9497670 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4317 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 105761900 | 05 | |
SC | APRN LICENSE NUMBER | 4317 | 01 |
Street Address |
1720 S ORANGE AVE |
City | ORLANDO |
State | FL |
Zip Code | 32806-2945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306817598 | Gretchen Joy Pohaski | Physician Assistant | 1720 S Orange Ave, Suite 500, Orlando, FL 32806-2945 | 2006-01-27 |
1871044800 | Pinero Preventive Medical Care Pa | Nurse Practitioner | 1720 S Orange Ave, Ste 200, Orlando, FL 32806-2945 | 2016-10-14 |
1376915058 | Claudia M Zuriarrain | Nurse Practitioner | 1720 S Orange Ave, Ste 200, Orlando, FL 32806-2945 | 2015-10-21 |
1962894378 | Dennis Carl Blanchette | Family Medicine | 1720 S Orange Ave, Suite 200, Orlando, FL 32806-2945 | 2015-02-22 |
1487090080 | Lori Smith, Lcsw, LLC | Social Worker | 1720 S Orange Ave, Suite 501, Orlando, FL 32806-2945 | 2013-05-22 |
1952600546 | George William Chisholm, M.d. | Specialist | 1720 S Orange Ave, Suite 102, Orlando, FL 32806-2945 | 2011-03-22 |
1184931974 | Jessica Susan Packwood | Physician Assistant | 1720 S Orange Ave, Ste 500, Orlando, FL 32806-2945 | 2010-09-01 |
1427238369 | Norman Glebe Becker Jr. | Dentist | 1720 S Orange Ave, Suite 550, Orlando, FL 32806-2945 | 2007-11-08 |
1750469284 | George William Chisholm | Obstetrics & Gynecology | 1720 S Orange Ave, Suite 102, Orlando, FL 32806-2945 | 2006-11-01 |
1740234012 | Marc Levy | Surgery | 1720 S Orange Ave, Orlando, FL 32806-2945 | 2006-05-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
Find all providers in zip 32806 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851950802 | Lindsay Elizabeth Gomes | Nurse Practitioner | 8410 Shady Glen Dr, Orlando, FL 32819-4179 | 2019-06-12 |
1003475211 | Allison Leigh Penny | Nurse Practitioner | 615 E Princeton St Ste 510, Orlando, FL 32803-1424 | 2019-06-11 |
1447731708 | Shanna Ann Maiorana | Nurse Practitioner | 4445 S Semoran Blvd Ste A, Orlando, FL 32822-2472 | 2018-08-24 |
1467816728 | Kara B Kweder | Nurse Practitioner | 7051 Dr Phillips Blvd Ste 1, Orlando, FL 32819-5140 | 2016-04-12 |
1669841698 | Rebecca L Archer | Nurse Practitioner | 2902 N Orange Ave Ste D, Orlando, FL 32804-4655 | 2015-09-21 |
1245568054 | Jeane Cole | Nurse Practitioner | 910 Marabon Ave, Orlando, FL 32806-1806 | 2009-12-07 |
1578795977 | Amber Rose Eastwood | Nurse Practitioner | 2101 Park Center Dr Ste 100, Orlando, FL 32835-7609 | 2009-08-18 |
1720214240 | Mindi Ashley Anderson | Nurse Practitioner | 12201 Research Pkwy Ste 300, Orlando, FL 32826-3265 | 2009-06-10 |
1295970408 | Mariah P Morris | Nurse Practitioner | 6000 Turkey Lake Rd Ste 205, Orlando, FL 32819-4206 | 2008-12-03 |
1679745517 | Kimberlee Artz | Nurse Practitioner | 92 W Miller St Fl 2, Orlando, FL 32806-2032 | 2008-04-01 |
Find all providers in ORLANDO |
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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.