JENNIFER LOPEZ (NPI# 1740748987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740748987 |
| Entity Type | Individual |
| Full Name | JENNIFER LOPEZ |
| Practice Address |
1011 N Macdill Ave Tampa FL 33607-5126 |
| Mailing Address |
6811 Sw 130th Ave Miami FL 33183-2423 |
| Practice Telephone | 8138760625 |
| Mailing Telephone | 3058909720 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9364482 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6811 Sw 130th Ave, Miami, FL 331832423 | 3058909720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801422852 | Jennifer Anne Lopez | Counselor | 10010 Reseda Blvd Unit D, Northridge, CA 91324-1495 | 2020-03-20 |
| 1578193348 | Jennifer Lopez | Dietitian, Registered | 8640 Sudley Rd Ste 108, Manassas, VA 20110-4404 | 2020-01-21 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1356901623 | Jennifer Knickerbocker Lopez | Physician Assistant | 5702 Saintsbury Dr Apt 123, The Colony, TX 75056-5488 | 2019-06-18 |
| 1841757085 | Jennifer Te Lopez | Nurse Practitioner | 2201 E 23rd St, Mission, TX 78572-3277 | 2019-02-25 |
| 1568940799 | Jennifer Lopez | Specialist/Technologist | 10114 Winsford Oak Blvd Apt 511, Tampa, FL 33624-5164 | 2018-07-31 |
| 1508356627 | Jennifer Lopez | Nurse Practitioner | 3563 Altis Cir S Unit 15201, Hialeah, FL 33018-6087 | 2018-05-14 |
| 1366950453 | Jennifer Jean Lopez | Specialist/Technologist | 8770 W Lane Ave, Glendale, AZ 85305-3972 | 2018-01-11 |
| 1346794286 | Jennifer Elise Lopez | Dietitian, Registered | 6448 Carousel Dr, Watauga, TX 76148-2815 | 2016-08-09 |
| 1447622519 | Jennifer Lopez | Behavioral Analyst | 448 W 153rd St Apt 21, New York, NY 10031-1135 | 2015-10-28 |
| Street Address |
1011 N MACDILL AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376869073 | Life Extension Clinics, Inc | Registered Nurse | 1011 N Macdill Ave, Tampa, FL 33607-5126 | 2010-04-20 |
| 1215535737 | Amy Koehler | Nurse Practitioner | 1011 N Macdill Ave, Tampa, FL 33607-5126 | 2020-10-16 |
| 1306495387 | Barbara Ann Palinchik | Nurse Practitioner | 1011 N Macdill Ave, Tampa, FL 33607-5126 | 2019-09-11 |
| 1376190785 | Marci Vitale | Nurse Practitioner | 1011 N Macdill Ave, Tampa, FL 33607-5126 | 2019-08-20 |
| 1366942708 | Lisa Marie Simms | Nurse Practitioner | 1011 N Macdill Ave, Tampa, FL 33607-5126 | 2018-02-12 |
| 1679014401 | Kathryn Bacher | Nurse Practitioner | 1011 N Macdill Ave, Tampa, FL 33607-5126 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153278 | Desirae A. Segura | Nurse Practitioner | 8218 Marauder Dr, Tampa, FL 33621-1426 | 2020-10-29 |
| 1750980173 | Vanessa P Criales | Nurse Practitioner | 4708 Pebblepointe Pl, Tampa, FL 33634-6271 | 2020-10-19 |
| 1023616778 | Latoya Tanique Sinclair | Nurse Practitioner | 4121 E Busch Blvd Apt 804, Tampa, FL 33617-5970 | 2020-10-14 |
| 1801403068 | Krystal G Solie | Nurse Practitioner | 14105 Mccormick Dr, Tampa, FL 33626-3019 | 2020-09-30 |
| 1578179784 | Brooke Sliman | Nurse Practitioner | 403 S Albany Ave Unit 2, Tampa, FL 33606-2180 | 2020-09-22 |
| 1538773791 | Cindy Irene Gearheart | Nurse Practitioner | 7712 W Powhatan Ave, Tampa, FL 33615-4133 | 2020-09-04 |
| 1447864921 | Kimberly Marie Hymiller | Nurse Practitioner | 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 | 2020-09-02 |
| 1508479841 | Andrea Mole | Nurse Practitioner | 5035 E Busch Blvd Ste 1a&1b, Tampa, FL 33617-5310 | 2020-08-26 |
| 1467065896 | Cho Yee Mon Maung | Nurse Practitioner | 2606 W Waters Ave, Tampa, FL 33614-1835 | 2020-08-25 |
| 1235741141 | Luis V Amat | Nurse Practitioner | 2301 W Clifton St, Tampa, FL 33603-1027 | 2020-08-21 |
| Find all providers in TAMPA | ||||
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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.