MS. JACQUELYNN MARIE KUBAY (NPI# 1760726061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760726061 |
| Entity Type | Individual |
| Full Name | MS. JACQUELYNN MARIE KUBAY |
| Credential | ARNP,NP-C |
| Practice Address |
12700 Creekside Ln Suite 101 Fort Myers FL 33919-3356 |
| Mailing Address |
19149 Meadowbrook Ct Fort Myers FL 33903-6640 |
| Practice Telephone | 4077978208 |
| Mailing Telephone | 4074692749 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2013-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
714372 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12700 CREEKSIDE LN SUITE 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241254 | Athanassios Drimoussis | Internal Medicine | 12700 Creekside Ln, Ste 201, Fort Myers, FL 33919-3356 | 2005-08-02 |
| 1215410220 | Nicholas Shelley | Registered Nurse | 12700 Creekside Ln, Fort Myers, FL 33919-3356 | 2018-09-14 |
| 1881025203 | Dorothea Ann Tocco | Physician Assistant | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2013-12-11 |
| 1619310091 | Kathleen Bell | Nurse Practitioner | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2013-04-16 |
| 1053694877 | Ross W Kravetz | Physician Assistant | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2011-09-28 |
| 1144415571 | Robert A Goldman | Physical Therapist | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2007-09-10 |
| 1740358928 | Elaine Joy Arpin | Neurological Surgery | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2006-12-04 |
| 1730256934 | George W Sypert | Neurological Surgery | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2006-11-30 |
| 1578642336 | Gretchen Nelson | Physician Assistant | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2006-11-03 |
| 1801859202 | Douglas F. Savage | Neurological Surgery | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2006-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341450 | Kimberly Debow | Nurse Practitioner | 14646 Aeries Way Dr, Fort Myers, FL 33912-1703 | 2019-02-06 |
| 1144704917 | Adelene Frances Tolisano | Nurse Practitioner | 6840 Fairview St, Fort Myers, FL 33966-1133 | 2018-09-18 |
| 1215417951 | Doreen Destefano | Nurse Practitioner | 12734 Kenwood Ln Ste 84, Fort Myers, FL 33907-5638 | 2018-08-21 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1891127791 | Kimberly A. Litka | Nurse Practitioner | 6150 Diamond Centre Ct Unit 400, Fort Myers, FL 33912-4367 | 2013-08-01 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1376694778 | Melanie Makar | Nurse Practitioner | 1390 Royal Palm Square Blvd, Fort Myers, FL 33919-1077 | 2007-01-15 |
| 1598814972 | Deborah Wince Chapa | Nurse Practitioner | 8925 Colonial Center Drive, Suite 1000, Fort Myers, FL 33905-7810 | 2007-01-09 |
| 1316048895 | Laurie Haefele | Nurse Practitioner | 11215 Metro Pkwy, Fort Myers, FL 33966-1206 | 2006-09-26 |
| 1457451130 | Jo Anne Theresa Kowalski | Nurse Practitioner | 17050 Coral Cay Ln, Fort Myers, FL 33908-5073 | 2006-09-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on MS. JACQUELYNN MARIE KUBAY.
| 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.