JACQUELYN DELGADO (NPI# 1952775124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952775124 |
| Entity Type | Individual |
| Full Name | JACQUELYN DELGADO |
| Other Name | JACQUELYN JOHNSON |
| Credential | ARNP |
| Practice Address |
1239 E Main St Bartow FL 33830-5058 |
| Mailing Address |
Po Box 1559 Bartow FL 33831-1559 |
| Practice Telephone | 8635190575 |
| Practice Fax Number | 8635829251 |
| Mailing Telephone | 8635190575 |
| Mailing Fax Number | 8635829251 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP3334082 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | IT191Z | 01 |
| FL | 018591700 | 05 |
| Street Address |
1239 E MAIN ST |
| City | BARTOW |
| State | FL |
| Zip Code | 33830-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097767 | Peace River Center for Personal Development Inc | Psychiatric Residential Treatment Facility | 1239 E Main St, Bartow, FL 33830 | 2005-07-20 |
| 1821600495 | Jennifer Feliz | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-08-17 |
| 1831715937 | Camila Febres Cordero Ramirez | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-06-24 |
| 1255968509 | Cecilia Silva | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-26 |
| 1205463551 | Briana Silveira | Community Health Worker | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-26 |
| 1043846314 | Delois Mitchell | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-19 |
| 1518593185 | Qushawna Hamilton | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-16 |
| 1912532714 | Andrew Fleming | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-12 |
| 1003441841 | Edda Colon Aviles | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-11 |
| 1376177469 | Jessica Desantis | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667902 | Care 4 All | Family Medicine | 2020 Flamingo Drive, Bartow, FL 33830 | 2019-12-27 |
| 1366911638 | Suhog Project Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 260 W Van Fleet Dr Apt 41, Bartow, FL 33830 | 2018-11-16 |
| 1851836357 | Danielle Shoemaker | Pharmacist | 395 East Van Fleet Dr, Bartow, FL 33830 | 2016-12-20 |
| 1942681911 | Beatriz Garciaprieto Carmona | Internal Medicine | 2250 Osprey Blvd Ste 102, Bartow, FL 33830 | 2015-06-15 |
| 1538418843 | A Time for Sharing Global Ministries, Inc | Marriage & Family Therapist | 2389 E.f.griffin Road, 2, Bartow, FL 33830 | 2012-08-31 |
| 1235487000 | Evellar Marissa Mcallister | Nurse Practitioner | 1064 N Broadway Ave, Bartow, FL 33830 | 2012-08-27 |
| 1679821813 | Margaret Annette Nelson | Marriage & Family Therapist | 2389 E.f Griffin Road, Bartow, FL 33830 | 2012-08-20 |
| 1003104381 | Rocky Mountain Holdings LLC | Ambulance | 5581 Airport Blvd, Bartow, FL 33830 | 2011-07-20 |
| 1972733913 | Amy Curry | Surgery | 2000 Osprey Blvd Ste 205, Bartow, FL 33830 | 2009-07-24 |
| 1356532204 | Kids First Pediatrics Pa | Pediatrics | 2000 Osprey Blvd S, 107, Bartow, FL 33830 | 2007-08-06 |
| Find all providers in zip 33830 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851813695 | Katharine Nataro | Nurse Practitioner | 1239 E Main St, Bartow, FL 33830-5058 | 2017-07-13 |
| 1316377997 | Briane Olson | Nurse Practitioner | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2013-11-19 |
| 1770807687 | Carolann Brooks | Nurse Practitioner | 1239 E Main St, Bartow, FL 33830-5058 | 2010-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.