MS. JENNIFER MICHELLE CREWS (NPI# 1902173420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902173420 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER MICHELLE CREWS |
| Credential | PA-C |
| Practice Address |
5200 Seminole Blvd St Petersburg FL 33708 |
| Mailing Address |
4200 N Armenia Ave Ste 1 Tampa FL 33607-6451 |
| Practice Telephone | 7273923376 |
| Practice Fax Number | 7278975263 |
| Mailing Telephone | 8138774811 |
| Mailing Fax Number | 8138728978 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106325 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285937169 | Jennifer D. Crews | Physical Therapist | 8909 Rand Ave, Daphne, AL 36526-9126 | 2010-12-14 |
| 1780764480 | Jennifer Anne Crews | Counselor | 26 Midway St, Bristol Regional Counseling Center, Bristol, TN 37620 | 2006-10-17 |
| 1427047356 | Jennifer Pritchard Crews | Speech-Language Pathologist | 108 22nd Ave Sw, Ste14, Olympia, WA 98501-2871 | 2005-10-13 |
| Street Address |
5200 SEMINOLE BLVD |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922195957 | Jeri Quirk | Counselor | 5200 Seminole Blvd, Suite K, St Petersburg, FL 33708-3378 | 2006-10-10 |
| 1922460161 | Jared Wishik | Dermatology | 5200 Seminole Blvd, St Petersburg, FL 33708-3356 | 2016-03-27 |
| 1316327877 | Tiffani Botts | Physician Assistant | 5200 Seminole Blvd, St Petersburg, FL 33708 | 2015-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023580545 | Caryn Lee Jackson-costello | Technician | 229h Medallion Boulevard, Madeira Beach, FL 33708 | 2018-12-21 |
| 1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
| 1073929634 | Blake Burnett | Student in an Organized Health Care Education/Training Program | 9200 113th Street, Saint Petersburg, FL 33708 | 2014-07-03 |
| 1568876084 | Lori R Hassinger Pa | Optometrist | 10127 Bay Pines Blvd, Saint Petersburg, FL 33708 | 2014-06-12 |
| 1043596927 | Elizabeth Wedman-st. Louis | Dietitian, Registered | 17920 Gulf Blvd, Ste 606, Redington Shores, FL 33708 | 2011-10-24 |
| 1033492301 | Irina S Solonenko | Pharmacist | 674 E Welch Causeway, Madeira Beach, FL 33708 | 2011-09-23 |
| 1962630277 | Rebekah Anne Smith | Optometrist | 15037 Madeira Way, Madeira Beach, FL 33708 | 2009-06-25 |
| 1952535973 | Ronald A Luscomb | Nurse Practitioner | 16110 Redington Drive, Redington Beach, FL 33708 | 2009-05-05 |
| 1679753933 | We Care Home Health Inc | Home Health | 10911 53rd Av No, St Petersburg, FL 33708 | 2007-11-05 |
| 1740408798 | The Hoffman Clinic, P.a. | Acupuncturist | 13495 Gulf Boulevard, Madeira Beach, FL 33708 | 2007-04-23 |
| Find all providers in zip 33708 | ||||
| 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 |
|---|---|---|---|---|
| 1558969378 | Odalys Caro | Physician Assistant | 6500 20th St N, St Petersburg, FL 33702-7112 | 2020-10-14 |
| 1417587106 | Hannah Newman | Physician Assistant | 1667 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-01-22 |
| 1740752526 | Michelle Ciesla | Physician Assistant | 2640 14th Ave N, St Petersburg, FL 33713-5813 | 2018-12-18 |
| 1205328978 | Alfredo Jose Gotera Avila | Physician Assistant | 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 | 2018-05-30 |
| 1578074043 | Ekta H Patel | Physician Assistant | 125 5th Ave Ne Apt 260, St Petersburg, FL 33701-3038 | 2017-10-23 |
| 1225495526 | Kelly Marie Egan | Physician Assistant | 2736 4th Ave N, St Petersburg, FL 33713-7824 | 2016-01-19 |
| 1992125264 | Casie J Parker | Physician Assistant | 603 7th Street S, Ste 540, St Petersburg, FL 33701 | 2014-04-24 |
| 1407174824 | Gina Mendez | Physician Assistant | 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 | 2010-05-10 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1720211725 | Christina Marie Tomasino | Physician Assistant | 3140 9th Ave N, St Petersburg, FL 33713-6626 | 2009-08-25 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33708 |
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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.