Teresa Jackson (NPI# 1528160181, PAC ID# 8628982147) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528160181 |
| PAC ID by PECOS | 8628982147 |
| Professional Enrollment ID | I20031118000506 |
| Full Name | Teresa Jackson |
| Organization Legal Name | JESSIE TRICE COMMUNITY HEALTH SYSTEM INC |
| Address |
16401 Nw 37th Ave St. Thomas University Miami Gardens FL 33054-6313 |
| Phone Number | 3056286691 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961486733 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5361 Nw22nd Ave, Miami, FL 33142-8035 | 3056376400 | JESSIE TRICE COMMUNITY HEALTH SYSTEM INC |
| 16401 Nw 37th Ave, St. Thomas University, Miami Gardens, FL 33054-6313 | 3056286691 | JESSIE TRICE COMMUNITY HEALTH SYSTEM INC |
| Organization Legal Name | JESSIE TRICE COMMUNITY HEALTH SYSTEM INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Pyngolil | Internal Medicine | Jessie Trice Community Health System Inc | 5607 Nw 27th Ave, 1 Corporate Office, Miami, FL 33142-2826 |
| Fatima Zafar | Family Medicine | Jessie Trice Community Health System Inc | 217 Nw 15th St, Miami, FL 33136-1832 |
| John K Fusselman | Optometry | Jessie Trice Community Health System Inc | 5361 Nw22nd Ave, Miami, FL 33142-8035 |
| Sadia A Ali | Family Medicine | Jessie Trice Community Health System Inc | 5361 Nw22nd Ave, Miami, FL 33142-8035 |
| Tashara Redding Jean | Nurse Practitioner | Jessie Trice Community Health System Inc | 5361 Nw22nd Ave, Miami, FL 33142-8035 |
| Kia Prescott | Nurse Practitioner | Jessie Trice Community Health System Inc | 16401 Nw 37th Ave, St. Thomas University, Miami Gardens, FL 33054-6313 |
| Darline Francois | Nurse Practitioner | Jessie Trice Community Health System Inc | 5607 Nw 27th Ave, 1 Corporate Office, Miami, FL 33142-2826 |
| Alonzo Grant | Obstetrics/gynecology | Jessie Trice Community Health System Inc | 5361 Nw22nd Ave, Miami, FL 33142-8035 |
| Natalia M Uribe | Family Medicine | Jessie Trice Community Health System Inc | 5361 Nw22nd Ave, Miami, FL 33142-8035 |
| Joycelyn Lawrence | Family Medicine | Jessie Trice Community Health System Inc | 5361 Nw22nd Ave, Miami, FL 33142-8035 |
| Street Address |
16401 NW 37TH AVE ST. THOMAS UNIVERSITY |
| City | MIAMI GARDENS |
| State | FL |
| Zip | 33054-6313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kia Prescott | Nurse Practitioner | Jessie Trice Community Health System Inc | 16401 Nw 37th Ave, St. Thomas University, Miami Gardens, FL 33054-6313 |
| Freddy Norori | Internal Medicine | Jessie Trice Community Health System Inc | 16401 Nw 37th Ave, St. Thomas University, Miami Gardens, FL 33054-6313 |
| Michael H Hin | Internal Medicine | Jessie Trice Community Health System Inc | 16401 Nw 37th Ave, St. Thomas University, Miami Gardens, FL 33054-6313 |
| Myriam N Gerstein | Clinical Social Worker | Jessie Trice Community Health Center, Inc. | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mercy M Gonzalez | Psychiatry | Public Health Trust of Miami Dade County Florida | 15055 Nw 27 Ave, Opa Locka, FL 33054-3365 |
| Evelyn F Benitez | Psychologist, Clinical | Public Health Trust of Miami Dade County Florida | 15055 Nw 27 Ave, Opa Locka, FL 33054-3365 |
| David Kramer | General Practice | 870 Fisherman St, Opa Locka, FL 33054-3509 | |
| Ulises L Rodriguez Avila | General Practice | 321 Opa Locka Blvd, Opa Locka, FL 33054-3526 | |
| Nadia C Echegoyen | General Practice | 321 Opa Locka Blvd, Opa Locka, FL 33054-3526 | |
| Ernesto Cuna | Family Practice | Access Medical Group of Opa-locka, Inc | 321 Opa Locka Blvd, Opa Locka, FL 33054-3526 |
| Juana M Gutierrez | Family Practice | Access Medical Group of Opa-locka, Inc | 321 Opa Locka Blvd, Opa Locka, FL 33054-3526 |
| Pierre R Blemur | Pediatric Medicine | 486 Fisherman St, Opalocka, FL 33054-3818 | |
| Baudilio J Cusco Prieto | General Practice | 3804 Nw 167 St, Opalocka, FL 33054-6232 | |
| Dawn Garcen | Family Medicine | Public Health Trust of Miami Dade County Florida | 16555 Nw 25th Ave, Uhealth Jackson Urgent Care North Dade, Miami Gardens, FL 33054-6583 |
| Find all physicians in zip 33054 | |||
| City | MIAMI GARDENS |
| Zip Code | 33054 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIAMI GARDENS + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.