DR. JESSICA ELLIOTT (NPI# 1891215331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891215331 |
| Entity Type | Individual |
| Full Name | DR. JESSICA ELLIOTT |
| Credential | DO |
| Practice Address |
2020 26th Ave E Bradenton FL 34208 |
| Mailing Address |
Po Box 9478 Bradenton FL 34206-9478 |
| Practice Telephone | 9417824600 |
| Practice Fax Number | 9417824601 |
| Mailing Telephone | 9417824299 |
| Mailing Fax Number | 9417824301 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230460 | Jessica Lynn Elliott | Social Worker | 5 Court Street, St 42, Chenango County Behavioral Health Services, County Offi, Norwich, NY 13815 | 2018-09-26 |
| 1013259795 | Jessica Alexis Elliott | Speech-Language Pathologist | 2337 Nw 159th Ter, Edmond, OK 73013-7311 | 2013-03-20 |
| 1578828950 | Jessica Dawn Elliott | Nurse's Aide | 18633 Love Rd, Fredericktown, OH 43019-9754 | 2012-07-11 |
| 1518075316 | Jessica L Elliott | Speech-Language Pathologist | 107 E Harrison St, Brunswick, MO 65236 | 2006-08-29 |
| 1669018735 | Jessica Elliott | Social Worker | 10690 Ne Cornell Rd Ste 215, Hillsboro, OR 97124-9224 | 2019-11-22 |
| 1295219236 | Jessica Paige Elliott | Social Worker | 1400 Cleveland St, Greenville, SC 29607-2410 | 2018-09-15 |
| 1659742740 | Jessica Elliott | Pharmacy Technician | 5420 West Loop S Ste 1500, Bellaire, TX 77401-2116 | 2015-10-14 |
| 1427454453 | Jessica Elliott | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2014-11-19 |
| 1891199519 | Jessica Elliott | Audiologist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2014-10-09 |
| 1972903607 | Jessica Ann Bombino Elliott | Physical Therapist | 1600 Pr Ctr Pkwy, Brighton, CO 80601-4006 | 2014-08-29 |
| Street Address |
2020 26TH AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134100365 | Carmon E Bland | Counselor | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2005-11-05 |
| 1255954202 | Satvik Vanthenapalli | Student in an Organized Health Care Education/Training Program | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2020-05-26 |
| 1508489550 | Lilas Dorothy Harley | Student in an Organized Health Care Education/Training Program | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2020-05-26 |
| 1427670041 | Andrew Francis Adorno | Psychiatry & Neurology | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2020-05-18 |
| 1790325843 | Bernadette Anita Frye | Nurse Practitioner | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2020-01-07 |
| 1912569187 | Gene Marty Wiggs | Psychiatry & Neurology | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2019-07-08 |
| 1275195422 | Aditya Kumar | Psychiatry & Neurology | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2019-07-08 |
| 1407418650 | Erica Campbell | Psychiatry & Neurology | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2019-07-08 |
| 1649765181 | Nathan Karakad | Student in an Organized Health Care Education/Training Program | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2018-06-27 |
| 1043705684 | Chen Li | Student in an Organized Health Care Education/Training Program | 2020 26th Ave E, Bradenton, FL 34208-7753 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568090710 | Juliana Guida | Student in an Organized Health Care Education/Training Program | 7622 Partridge Street Cir, Bradenton, FL 34202-4028 | 2020-03-31 |
| 1659908895 | Timothy Lee | Student in an Organized Health Care Education/Training Program | 2020 59th St W Fl 34209, Bradenton, FL 34209-4604 | 2020-03-26 |
| 1093272486 | Sheba G. Valcourt | Student in an Organized Health Care Education/Training Program | 1502 30th St W, Bradenton, FL 34205-3946 | 2019-02-21 |
| 1396236469 | Joshua Aaron Russell | Student in an Organized Health Care Education/Training Program | 206 2nd St E Fl 34208, Bradenton, FL 34208-1042 | 2018-05-24 |
| 1588161202 | Adriana Michelle Carpenter | Student in an Organized Health Care Education/Training Program | 7047 Montauk Point Xing, Bradenton, FL 34212-7014 | 2018-04-09 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1326557349 | Fabio Rodriguez | Student in an Organized Health Care Education/Training Program | 5000 Lakewood Ranch Blvd, Bradenton, Fl 34211, Bradenton, FL 34211 | 2017-09-21 |
| 1710341268 | Caroline Brennick | Student in an Organized Health Care Education/Training Program | 11110 Lost Creek Ter, Unit 102, Bradenton, FL 34211-9350 | 2016-04-11 |
| 1700221512 | Melissa Pravin Patel | Student in an Organized Health Care Education/Training Program | 3506 1st St, Bradenton, FL 34208-4433 | 2013-05-07 |
| 1801494117 | Sarah Louise Harper | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-10-09 |
| Find all providers in BRADENTON | ||||
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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.