LEAH JACQUELINE STUBBLEFIELD (NPI# 1073773206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073773206 |
| Entity Type | Individual |
| Full Name | LEAH JACQUELINE STUBBLEFIELD |
| Credential | PA-C |
| Practice Address |
5880 49th St N Ste 104 St Petersburg FL 33709-2150 |
| Practice Telephone | 7275286100 |
| Practice Fax Number | 7275287895 |
| Mailing Telephone | 7275286100 |
| Mailing Fax Number | 7275287895 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA910479 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001677500 | 05 | |
| FL | MEDICARE PTAN | AL867Y | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2191 9th Ave N Ste 105, St Petersburg, FL 337137147 | 7275286100 | 7275287895 |
| Street Address |
5880 49TH ST N STE 104 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457322844 | David H Silverstein | Specialist | 5880 49th St N, Suite N-207, St Petersburg, FL 33709-2150 | 2006-02-01 |
| 1568728921 | Manishi G Mukherjee Md Pa | Obstetrics & Gynecology | 5880 49th St N, St Petersburg, FL 33709-2150 | 2012-04-10 |
| 1508138314 | Fermina Alia Pirmohamed | Psychiatry & Neurology | 5880 49th St N, Ste 104, St Petersburg, FL 33709-2150 | 2012-02-09 |
| 1063795706 | Jennifer E Matos-rodriguez | Psychiatry & Neurology | 5880 49th St N, Suite N-104, St Petersburg, FL 33709-2150 | 2011-09-20 |
| 1407188527 | David H. Silverstein, Md, Pa | Specialist | 5880 49th St N, Suite N-207, St Petersburg, FL 33709-2150 | 2010-02-01 |
| 1235386772 | Pinellas Internal Medicine Specialists, Pa | Specialist | 5880 49th St N, Suite N105, St Petersburg, FL 33709-2150 | 2008-08-27 |
| 1548417488 | Vilas Deshpande M.d., Pa | Specialist | 5880 49th St N, Suite 101-n, St Petersburg, FL 33709-2150 | 2008-08-22 |
| 1194931832 | Angelo M Alves | Psychiatry & Neurology | 5880 49th St N, Suite 108, St Petersburg, FL 33709-2142 | 2007-05-16 |
| 1013035146 | American Family & Geriatric Care Pa | Internal Medicine | 5880 49th St N, Suite 101 N, St Petersburg, FL 33709-2150 | 2007-03-27 |
| 1003914284 | Anthony Stanek Albert | Orthopaedic Surgery | 5880 49th St N, Ste 104, St Petersburg, FL 33709-2150 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366726994 | Coley Lauren Westerberg | Physician Assistant | 1033 Martin Luther King Street North, Suite 108, St Petersburg, FL 33701 | 2011-09-30 |
| 1669569687 | Lynn L Lybrand | Physician Assistant | 5398 Park Street North, St Petersburg, FL 33709 | 2006-10-10 |
| 1225129646 | Gerald P Marshbanks | Physician Assistant | 1301 Beach Dr Se, St Petersburg, FL 33701-5621 | 2006-09-28 |
| 1356390785 | Christina M. Burke | Physician Assistant | 3251 3rd Ave N Rm 125, St Petersburg, FL 33713-8549 | 2006-05-10 |
| 1831185685 | Tiffani Ondrea Mcgee | Physician Assistant | 560 Jackson St N, Suite 100, St Petersburg, FL 33705-1405 | 2005-09-26 |
| 1790283331 | William Travis Hupp | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703 | 2018-01-29 |
| 1649712274 | Raymundo Gamboa Jacinto | Physician Assistant | 501 6th Ave S, St Petersburg, FL 33701 | 2016-11-14 |
| 1215313671 | Emily Mattei Godfrey | Physician Assistant | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2015-08-07 |
| 1265824817 | Crystal Diana Thomas | Physician Assistant | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2015-02-19 |
| 1477998904 | Alyssa Perry | Physician Assistant | 560 Jackson St N, Suite 100, St Petersburg, FL 33705-1449 | 2013-05-10 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on LEAH JACQUELINE STUBBLEFIELD.
| 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.