DR. JACQUELINE ALEXANDRA ANDERSON (NPI# 1700064664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700064664 |
Entity Type | Individual |
Full Name | DR. JACQUELINE ALEXANDRA ANDERSON |
Credential | PHD |
Practice Address |
1740 Se 18th St Ste 901 Ocala FL 34471-5445 |
Mailing Address |
Po Box 772345 Ocala FL 34477-2345 |
Practice Telephone | 3528042875 |
Practice Fax Number | 3523903868 |
Mailing Telephone | 7862460656 |
Mailing Fax Number | 3253903868 |
Enumeration Date | 2008-02-03 |
Last Update Date | 2019-03-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | PY5982 | FL | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY5982 | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154981900 | Jacqueline Anderson | Registered Nurse | 668 E 84th St, Brooklyn, NY 11236-3428 | 2019-06-14 |
1205245255 | Jacqueline Anderson | Nurse Practitioner | 2057 Northfield Dr, Santa Rosa, CA 95403-2073 | 2014-08-04 |
1336559756 | Jacqueline Davis Anderson | Nursing Care | 3300 N Elm St, Greensboro, NC 27405-3156 | 2014-05-07 |
1376970897 | Jacqueline Anderson | Physical Therapist | 13682 Mineral Springs Rd, West Fork, AR 72774-9380 | 2013-09-29 |
1922300391 | Jacqueline Marie Anderson | Speech-Language Pathologist | 6229 Lawnton St, Philadelphia, PA 19128-2601 | 2010-11-17 |
1851520407 | Jacqueline Marie Anderson | Counselor | 1011 N Lynndale Dr Ste 2d, Appleton, WI 54914-3091 | 2009-07-03 |
1205903424 | Jacqueline Denise Anderson | Contractor | 640 Acr 3593, Palestine, TX 75803 | 2006-11-30 |
1447354931 | Jacqueline Connell Anderson | Social Worker | 590 Greene Ave, Brooklyn, NY 11216-1200 | 2006-09-13 |
1689200651 | Jacqueline Anderson | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101-4501 | 2020-03-20 |
1295377364 | Jacqueline Anderson | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2019-10-10 |
Street Address |
1740 SE 18TH ST STE 901 |
City | OCALA |
State | FL |
Zip Code | 34471-5445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
Find all providers in zip 34471 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841813136 | Yolanda Deyoung | Psychologist | 303 Ne 117th St, Ocala, FL 34479-1050 | 2020-05-21 |
1104392448 | Wendy Jane Lader | Psychologist | 3002 Se 1st Ave Ste 100, Ocala, FL 34471-0407 | 2018-10-14 |
1093130957 | Mohamed Khan | Psychologist | 4750 Nw 67th St, Ocala, FL 34482-2247 | 2014-02-28 |
1538501952 | Sonia Maria Medina | Psychologist | 3235 Sw 34th St Ste 101, Ocala, FL 34474-7502 | 2013-07-26 |
1881814309 | Stacey Jo Hoffman | Psychologist | 3021 Sw 27th Ave, Ocala, FL 34474 | 2007-04-26 |
1295746212 | Ann Lan Mames | Psychologist | 3035 Sw 27th Ave, Ocala, FL 34471-0105 | 2006-08-11 |
1982615381 | Jason Lane Burns | Psychologist | 2023 Laurel Run Dr, Ocala, FL 34471-8372 | 2006-08-10 |
1841243367 | Suna Barry | Psychologist | 1720 Sw 29th Ter, Ocala, FL 34474-2928 | 2006-05-18 |
1609828458 | Ava C Land | Psychologist | 1135 Ne 8th Ave, Ocala, FL 34470-5368 | 2006-05-17 |
1841240124 | Colleen D Character | Psychologist | 2801 Sw College Rd, Suite 4, Ocala, FL 34474-7406 | 2006-05-10 |
Find all providers in OCALA |
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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.