JESSICA K SHUTT (NPI# 1700052214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700052214 |
| Entity Type | Individual |
| Full Name | JESSICA K SHUTT |
| Credential | RNCS |
| Practice Address |
1403 Medical Plaza Dr 202 Sanford FL 32771-1000 |
| Practice Telephone | 3867750736 |
| Mailing Telephone | 3867750736 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2015-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
9410846 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
233581 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1403 MEDICAL PLAZA DR 202 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213234 | Bhupinder S Mangat | Specialist | 1403 Medical Plaza Dr, Ste 204, Sanford, FL 32771-1047 | 2005-05-23 |
| 1164881751 | Matthew Combes | Physician Assistant | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2016-02-11 |
| 1710345723 | Ramon Luis Vega | Chiropractor | 1403 Medical Plaza Dr, Ste 100, Sanford, FL 32771-1000 | 2016-02-04 |
| 1477918415 | The Urology Center | Urology | 1403 Medical Plaza Dr, Suite 101, Sanford, FL 32771-1000 | 2015-12-17 |
| 1548636830 | Paula Wright | Social Worker | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2015-08-20 |
| 1215270764 | Orlando Mota-aquino | Pediatrics | 1403 Medical Plaza Dr, Suite 104, Sanford, FL 32771-1000 | 2013-04-03 |
| 1427340975 | Active Pain and Injury Inc | Pain Medicine | 1403 Medical Plaza Dr, Suite 109, Sanford, FL 32771-1000 | 2011-05-03 |
| 1861636078 | Andrew Craig Skattum | Surgery | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2009-05-01 |
| 1417197393 | Seminole Neurology Associates Pa | Specialist | 1403 Medical Plaza Dr, Suite 204, Sanford, FL 32771-1000 | 2009-03-04 |
| 1609056761 | Mid Florida Physicians Inc | Internal Medicine | 1403 Medical Plaza Dr, Suite 207, Sanford, FL 32771-1000 | 2007-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335224 | Teresa Lorraine Fuller | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-08-04 |
| 1710453261 | Geneva Nicole Collins | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2018-10-22 |
| 1326543877 | Jacqueline Kelly Keith | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2018-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740511815 | Michelle Dan El Carr | Clinical Nurse Specialist | 902 Marlene Dr, Ocoee, FL 34761-3228 | 2010-01-28 |
| 1639403173 | Ida Lou Mercer | Clinical Nurse Specialist | 4024 Central Ave., St. Petersburg, FL 33733-0970 | 2009-10-01 |
| 1881866937 | Katherine Ntekim | Clinical Nurse Specialist | 8250 Sw 40th St, Suite C, Miami, FL 33155-3335 | 2008-03-28 |
| 1336329002 | Building New Horizons, Inc. | Clinical Nurse Specialist | 2843 Alt 19, Palm Harbor, FL 34683-1926 | 2007-11-09 |
| 1811050909 | Judith Ann Walters | Clinical Nurse Specialist | 9990 Coconut Rd, Estero, FL 34135-8488 | 2006-12-19 |
| 1477657831 | Rebecca Dunn | Clinical Nurse Specialist | 2015 N Central Ave, Tampa, FL 33602 | 2006-09-07 |
| 1891332425 | Michelle Dan El Carr Inc | Clinical Nurse Specialist | 902 Marlene Dr, Ocoee, FL 34761-3228 | 2019-12-02 |
| 1265716401 | Emma Wood | Clinical Nurse Specialist | 100 N Main St, Chattahoochee, FL 32324-1107 | 2011-10-06 |
| 1740595271 | Pam Rillstone, Phd, Cns, Bc, Ct, Pllc | Clinical Nurse Specialist | 6817 Southpoint Pkwy, Ste 304, Jacksonville, FL 32216-6282 | 2010-08-09 |
| 1851557748 | Elizabeth Simoes | Clinical Nurse Specialist | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2008-07-31 |
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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.