EMILY G JENNINGS (NPI# 1700968542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700968542 |
| Entity Type | Individual |
| Full Name | EMILY G JENNINGS |
| Credential | PA-C |
| Practice Address |
699 W Cocoa Beach Cswy Suite 403 Cocoa Beach FL 32931-3577 |
| Mailing Address |
Po Box 561600 Rockledge FL 32956-1600 |
| Practice Telephone | 3218688348 |
| Practice Fax Number | 3218688349 |
| Mailing Telephone | 3214344600 |
| Mailing Fax Number | 3212590635 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9103794 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292606700 | 05 | |
| FL | LICENSE | PA9103794 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528569225 | Emily Katherine Jennings | Counselor | 4629 Clarks Ferry Rd, Draper, VA 24324-2805 | 2018-02-27 |
| 1770111031 | Emily Jennings | Student in an Organized Health Care Education/Training Program | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-03-31 |
| 1871070797 | Emily Jo Jennings | Nurse Practitioner | 3225 Hedley Rd, Springfield, IL 62711 | 2018-07-24 |
| 1295282036 | Emily Jennings | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2016-09-09 |
| 1407279599 | Emily S Jennings | Lactation Consultant, Non-RN | 400 S University Ave, Suite B, Room C, Mount Pleasant, MI 48858-3170 | 2014-01-27 |
| 1639441140 | Emily Smith Jennings | Counselor | 725 Highland Ave, Suite 100, Winston Salem, NC 27101-4180 | 2012-01-30 |
| 1356489017 | Emily Ann Jennings | Case Manager/Care Coordinator | 109 West Watauga Avenue, Johnson City, TN 37604 | 2007-02-02 |
| Street Address |
699 W COCOA BEACH CSWY SUITE 403 |
| City | COCOA BEACH |
| State | FL |
| Zip Code | 32931-3577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790785426 | Dusan Sabol | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 506, Cocoa Beach, FL 32931 | 2005-07-22 |
| 1245782838 | Patricia Gallagher Harvey | Nurse Practitioner | 699 W Cocoa Beach Cswy, 405, Cocoa Beach, FL 32931-3577 | 2016-10-29 |
| 1891070330 | Kimberly Melissa Bates | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 603, Cocoa Beach, FL 32931-3577 | 2011-10-16 |
| 1083940381 | Sandra M Jennings Ingle | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931-3577 | 2009-10-22 |
| 1891021119 | Allysia Affonso | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 503, Cocoa Beach, FL 32931-3577 | 2009-10-21 |
| 1639320880 | Joseph John Bedway Jr. | Surgery | 699 W Cocoa Beach Cswy, Suite 505, Cocoa Beach, FL 32931-3577 | 2008-10-07 |
| 1013180611 | Patrick R. Sonser | Physical Medicine & Rehabilitation | 699 W Cocoa Beach Cswy, Suite 405, Cocoa Beach, FL 32931-3577 | 2008-04-04 |
| 1689843211 | Health First Physicians, Inc | Durable Medical Equipment & Medical Supplies | 699 W Cocoa Beach Cswy, Suite 405, Cocoa Beach, FL 32931-3577 | 2008-02-28 |
| 1093913550 | Hassan Borghei | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931-3577 | 2007-07-06 |
| 1679790513 | Will Wei Xiong | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 502, Cocoa Beach, FL 32931-3577 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275016 | Daniel Edgar Ferrier | Specialist/Technologist | 741 S Orlando Ave Apt B, Cocoa Beach, FL 32931 | 2018-02-13 |
| 1891206793 | Peace Club Inc. | Counselor | 1811 S. Orlando Avenue, Cocoa Beach, FL 32931 | 2017-10-18 |
| 1811384696 | Magnolia House Assisted Living Facility LLC | Assisted Living Facility | 103 Yacht Haven Drive, Cocoa Beach, FL 32931 | 2015-04-20 |
| 1801236807 | Muhammad Ishfaq | Internal Medicine | 701 W Cocoa Beach Causeway, Cocoa Beach, FL 32931 | 2013-07-05 |
| 1053658799 | Charles King | Pharmacist | 2067 North Atlantic Ave, Cocoa Beach, FL 32931 | 2013-01-15 |
| 1033464441 | Cori Megan Daniels | Nurse Practitioner | 1980 N. Atlantic Ave, Suite 627, Cocoa Beach, FL 32931 | 2012-07-23 |
| 1871850313 | Adel Tadros Fahmy | Obstetrics & Gynecology | 68 Country Club Road, Cocoa Beach, FL 32931 | 2012-04-23 |
| 1497021760 | Armstrong Chiropractic Family Center, Inc. | Clinic/Center | 1401 N. Atlantic Ave., Cocoa Beach, FL 32931 | 2012-03-30 |
| 1710261516 | Jill L Carey | Speech-Language Pathologist | 50 Country Club Rd, Cocoa Beach, FL 32931 | 2011-09-28 |
| 1700173416 | Barbara Greene | Registered Nurse | 26 West Point Drive, Cocoa Beach, FL 32931 | 2011-07-01 |
| Find all providers in zip 32931 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275780389 | Deborah Faye Dean | Physician Assistant | 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 | 2008-08-20 |
| 1487727285 | Lisa A Schmalz | Physician Assistant | 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931-3577 | 2006-11-17 |
| 1790720670 | Shannon O'bryan | Physician Assistant | 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931-3577 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | COCOA BEACH |
| Zip Code | 32931 |
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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.