CARRON JETT (NPI# 1669420824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669420824 |
| Entity Type | Individual |
| Full Name | CARRON JETT |
| Practice Address |
1817 Ponderosa St Cocoa FL 32926-6446 |
| Practice Telephone | 3216319139 |
| Mailing Telephone | 3216319139 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
1817 PONDEROSA ST |
| City | COCOA |
| State | FL |
| Zip Code | 32926-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659619146 | Jennifer Vajanyi | Pharmacist | 2301 Sr 524, Cocoa, FL 32926 | 2013-01-18 |
| 1992077515 | Carol Ann Shirley | Occupational Therapy Assistant | 3032 Dunhill Drive, Cocoa, FL 32926 | 2012-01-27 |
| 1457589111 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 450 Townsend Road, Cocoa, FL 32926 | 2009-07-01 |
| 1740403450 | Katherine Elizabeth Holeman | Counselor | 690 Friday Road, Cocoa, FL 32926 | 2007-04-11 |
| 1326102336 | The Devereux Foundation | Clinic/Center | 225 N Burnett Drive, Cocoa, FL 32926 | 2006-12-21 |
| 1073553483 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2301 Sr 524 Lot 150, Cocoa, FL 32926 | 2006-06-07 |
| 1356824981 | Magdalena A Mcneeley | Behavioral Analyst | 1370 Mycroft Dr, Cocoa, FL 32926-1825 | 2018-09-10 |
| 1487938247 | Delatron Johnson | Occupational Therapy Assistant | 1297 Mycroft Dr, Cocoa, FL 32926-1826 | 2011-09-28 |
| 1487944435 | Rhonda Jones-davis | Marriage & Family Therapist | 5402 Talbot Blvd, Cocoa, FL 32926-1834 | 2011-04-12 |
| 1275760605 | Deborah Lynn Lombard | Nurse Practitioner | 362 Cressa Cir, Cocoa, FL 32926-2462 | 2009-06-11 |
| Find all providers in zip 32926 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003369588 | Taylor Jahnke | Contractor | 6535 Corsica Blvd, Cocoa, FL 32927-4226 | 2016-08-01 |
| 1922490572 | Linda Cole | Contractor | 3340 Pine St, Cocoa, FL 32926-2935 | 2015-02-19 |
| 1245668086 | Betty Lopez Munarriz | Contractor | 5660 Fay Blvd, Cocoa, FL 32927 | 2013-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
| 1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
| 1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
| 1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
| 1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
| 1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
| 1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
| 1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
| 1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
| 1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARRON JETT.
| 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.