JACQUELINE KAY NIZAMOFF (NPI# 1003942111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003942111 |
| Entity Type | Individual |
| Full Name | JACQUELINE KAY NIZAMOFF |
| Other Name | MISS JACQUELINE KAY BUTLER |
| Credential | OTR CHT |
| Practice Address |
1715 Eagle Harbor Pkwy Ste A Fleming Island FL 32003-4324 |
| Mailing Address |
11945 San Jose Blvd Ste 300 Jacksonville FL 32223-1627 |
| Practice Telephone | 9042156122 |
| Practice Fax Number | 9043758627 |
| Mailing Telephone | (904) 396-1725 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
2660 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1715 EAGLE HARBOR PKWY STE A |
| City | FLEMING ISLAND |
| State | FL |
| Zip Code | 32003-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003379975 | North Florida Surgeons, Pa | Clinic/Center | 1715 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4324 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902514 | The Gulfside Group, LLC | Occupational Therapist | 711 Crystal Lake Rd, Lutz, FL 33548-6431 | 2020-08-14 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1326689209 | Healing Hands Therapy Group | Occupational Therapist | 1699 Sw 27th Ave Fl 3, Miami, FL 33145-2074 | 2019-10-02 |
| 1093222820 | Janna Randolph | Occupational Therapist | 4551 N Davis Hwy Ste C, Pensacola, FL 32503-2732 | 2018-01-02 |
| 1154843787 | Karen Lopez Jimenez | Occupational Therapist | 100 Waymont Ct Ste 120, Lake Mary, FL 32746-3412 | 2017-07-14 |
| 1255860433 | Life In Motion Physical & Hand Therapy | Occupational Therapist | 9021 Oakhurst Rd Ste A, Seminole, FL 33776-2156 | 2017-06-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1992156046 | Rachelle Delucas | Occupational Therapist | 7800 Sw 103rd Ave, Gainesville, FL 32608-6208 | 2016-06-29 |
| 1346658481 | Andrew Craig | Occupational Therapist | 4420 Sheridan St Ste A, Hollywood, FL 33021-3552 | 2014-07-31 |
| 1194152439 | Life In Motion Physical & Hand Therapy | Occupational Therapist | 9125 Us Highway 19 N, Pinellas Park, FL 33782-5406 | 2013-10-01 |
| Find all providers with the same taxonomy | ||||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on JACQUELINE KAY NIZAMOFF.
| 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.