JILL WANG (NPI# 1619228871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619228871 |
| Entity Type | Individual |
| Full Name | JILL WANG |
| Credential | ARNP |
| Practice Address |
1770 Cedar St Rockledge FL 32955-3133 |
| Mailing Address |
400 East Sheridan Rd Melbourne FL 32901-3122 |
| Practice Telephone | 3218901500 |
| Practice Fax Number | 3216346260 |
| Mailing Telephone | 3217225200 |
| Mailing Fax Number | 3219537510 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9269172 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9269172 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100177700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508800020 | Jill S Wang | Internal Medicine | 5515 Cleveland Ave, Stevensville, MI 49127-9670 | 2006-06-15 |
| Street Address |
1770 CEDAR ST |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033151915 | Subramaniyam Vasudevan | Psychiatry & Neurology | 1770 Cedar St, Rockledge, FL 32955-3133 | 2006-06-12 |
| 1437670619 | Sharon Largent | Social Worker | 1770 Cedar St, Rockledge, FL 32955-3133 | 2017-06-28 |
| 1073064341 | Jillian Kennedy | Community Health Worker | 1770 Cedar St, Rockledge, FL 32955-3133 | 2016-10-20 |
| 1003211004 | Wieslaw Faliszewski | Nurse Practitioner | 1770 Cedar St, Rockledge, FL 32955-3133 | 2014-11-03 |
| 1144625880 | Sharie Bell | Counselor | 1770 Cedar St, Rockledge, FL 32955-3133 | 2014-10-23 |
| 1295154292 | Judith Parker | Counselor | 1770 Cedar St, Rockledge, FL 32955-3133 | 2014-04-08 |
| 1801221536 | Miriam Mier | Social Worker | 1770 Cedar St, Rockledge, FL 32955 | 2013-09-12 |
| 1942633946 | Alison Van Hamed | Registered Nurse | 1770 Cedar St, Rockledge, FL 32955-3133 | 2013-08-13 |
| 1639502990 | Nathan Chase | Counselor | 1770 Cedar St, Rockledge, FL 32955-3133 | 2013-08-09 |
| 1447599048 | Jason Shane Webb | Counselor | 1770 Cedar St, Rockledge, FL 32955-3133 | 2013-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| 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 |
|---|---|---|---|---|
| 1003211004 | Wieslaw Faliszewski | Nurse Practitioner | 1770 Cedar St, Rockledge, FL 32955-3133 | 2014-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| 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.