MRS. JESSICA ANNE RAINES (NPI# 1043624000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043624000 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ANNE RAINES |
| Credential | CPNP-PC |
| Practice Address |
1702 S Jefferson St Perry FL 32348-5611 |
| Mailing Address |
194 Ne Hancock Ave Madison FL 32340-2546 |
| Practice Telephone | 8555775437 |
| Practice Fax Number | 8508382140 |
| Mailing Telephone | 8502532275 |
| Mailing Fax Number | 8502532280 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2017-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9215145 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760975213 | Jessica Rose Raines | Physical Therapy Assistant | 107 N 8th St, Hebron, OH 43025-7021 | 2018-06-10 |
| Street Address |
1702 S JEFFERSON ST |
| City | PERRY |
| State | FL |
| Zip Code | 32348-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205894425 | Ronald Emerick Jr. | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2006-05-04 |
| 1407314289 | Felicia Thomas | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2019-03-11 |
| 1902362759 | Melissa Harris | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2019-02-18 |
| 1811447824 | Little Pine Pediatrics, Pllc | Clinic/Center | 1702 S Jefferson St, Perry, FL 32348-5611 | 2016-10-13 |
| 1205203742 | Brittany Hobbs Bishop | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2015-09-01 |
| 1356645097 | Linda Gail Berry | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2011-01-10 |
| 1790008191 | Marcia B Bass | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348 | 2010-03-12 |
| 1669700811 | Venette Pierre | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-11-30 |
| 1376787580 | Angela B Culpepper | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-05-01 |
| 1376784702 | Little Pine Pediatrics, Pllc | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328099 | Ashley Wambolt Mccormick | Registered Nurse | 1706 S. Jefferson, Perry, FL 32348 | 2013-12-12 |
| 1053692293 | Rocky Mountain Holdings LLC | Ambulance | 301 Industrial Park Dr, Perry, FL 32348 | 2011-09-01 |
| 1285959775 | Darrin G Ward | Acupuncturist | 1708 S. Byron Butler Pkwy, Perry, FL 32348 | 2010-03-29 |
| 1568569937 | Apalachee Center Inc | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2006-09-20 |
| 1376645648 | Wilburn Hiram Peacock Jr. | Pharmacist | 2057 W Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
| 1932202272 | Horace Michael Knowles | Pharmacist | 2057 W. Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
| 1881110047 | Dorothy Tucker | Nurse's Aide | 1106 North Ave, Perry, FL 32348 | 2017-08-19 |
| 1780027946 | Patricia Ngozi Kalu | Nurse Practitioner | 8501 Hampton Springs Rd, Perry, FL 32348 | 2013-04-08 |
| 1760722771 | Disc Village, Inc. | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2013-02-28 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| Find all providers in zip 32348 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314289 | Felicia Thomas | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2019-03-11 |
| 1902362759 | Melissa Harris | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
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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.