JESSICA SHAFFER (NPI# 1629576897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629576897 |
| Entity Type | Individual |
| Full Name | JESSICA SHAFFER |
| Other Name | JESSICA KIDWELL |
| Credential | MA |
| Practice Address |
1823 Business Park Blvd Daytona Beach FL 32114-1230 |
| Mailing Address |
509 Mount Olympus Blvd New Smyrna Beach FL 32168-2413 |
| Practice Telephone | 3862541931 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184105728 | Jessica Shaffer | Marriage & Family Therapist | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2018-08-22 |
| 1053829507 | Jessica Lee Shaffer | Registered Nurse | 700 Us 31 South, Greenwood, IN 46143 | 2018-01-18 |
| 1225582182 | Jessica Shaffer | Social Worker | 187 Oyate Cir, Lower Brule, SD 57548-8500 | 2016-08-09 |
| 1043669179 | Jessica Shaffer | Social Worker | 15 N 3rd St, Suite 200, Newark, OH 43055-5550 | 2016-06-09 |
| 1710343603 | Jessica Shaffer | Behavioral Analyst | 161 Hatcher Ln, Clarksville, TN 37043-5987 | 2016-01-07 |
| 1932500675 | Jessica Lynne Shaffer | Social Worker | 947 Cole Ave, Los Angeles, CA 90038-2610 | 2014-09-12 |
| 1922240266 | Jessica M Shaffer | Speech-Language Pathologist | 135 Cumberland Rd, Suite 105, Pittsburgh, PA 15237-5447 | 2009-04-01 |
| Street Address |
1823 BUSINESS PARK BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760697569 | Metro Treatment of Florida, Lp | Pharmacy | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2007-05-14 |
| 1720646094 | Glenn Wilbur Scanes Jr. | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2019-06-03 |
| 1962900324 | Catherin Grace O'neill | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-31 |
| 1720586498 | Maria Zavala | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-29 |
| 1821596495 | Annette Margaret Gerardi | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-29 |
| 1841708450 | Patricia Ann Schwind Norris | Social Worker | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-17 |
| 1619485315 | Symone Ayana Ellis | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-16 |
| 1295242709 | Amy Kundinger | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-05 |
| 1366959264 | Kayla Marie Goldsby | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
| 1730696634 | Justin William Knighton | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710278189 | Vanessa Harvey-lents | Counselor | 901 Madison Ave, Daytona Beach, FL 32114-1811 | 2011-04-20 |
| 1235761677 | Hollan Pugh | Counselor | 116 Bay St, Daytona Beach, FL 32114-3234 | 2020-02-04 |
| 1023678539 | Chester Wilson Jr. | Counselor | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2019-06-17 |
| 1720646094 | Glenn Wilbur Scanes Jr. | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2019-06-03 |
| 1962900324 | Catherin Grace O'neill | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-31 |
| 1720586498 | Maria Zavala | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-29 |
| 1821596495 | Annette Margaret Gerardi | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-29 |
| 1740797794 | Alexis Katholiki-eleni Skopos | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2017-12-29 |
| 1437665403 | Laura Coe | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2017-12-28 |
| 1942716923 | Maureen Cone | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2017-12-28 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on JESSICA SHAFFER.
| 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.