JACQUELINE LEE (NPI# 1225371065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225371065 |
| Entity Type | Individual |
| Full Name | JACQUELINE LEE |
| Practice Address |
45 Caddy Rd Rotonda West FL 33947-2217 |
| Mailing Address |
Po Box 3202 Placida FL 33946-3202 |
| Practice Telephone | 9416612643 |
| Mailing Telephone | 9416612643 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 232306 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 689465896 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649705641 | Jacqueline Lee | Driver | 3735 Brighton Springs Ln, Katy, TX 77449-5076 | 2017-04-27 |
| 1962857102 | Jacqueline Christine Lee | Obstetrics & Gynecology | 250 E Superior St Ste 5-2177, Chicago, IL 60611-2914 | 2016-04-25 |
| 1295346385 | Jacqueline Lee | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2020-08-12 |
| 1871120154 | Jacqueline Lee | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2020-03-25 |
| 1831695006 | Jacqueline Lee | Student in an Organized Health Care Education/Training Program | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2018-04-04 |
| 1285138719 | Jacqueline Lee | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303 | 2018-03-20 |
| 1962864546 | Jacqueline Lee | Pharmacist | 1057 Boston Post Rd, Guilford, CT 06437-2644 | 2016-03-23 |
| 1255711388 | Jacqueline Lee | Counselor | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2015-06-03 |
| 1962813063 | Jacqueline Lee | Counselor | 3206 Hillsdale Ln, Kissimmee, FL 34741-7562 | 2014-05-13 |
| 1740620988 | Jacqueline Claire Lee | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-07-02 |
| Street Address |
45 CADDY RD |
| City | ROTONDA WEST |
| State | FL |
| Zip Code | 33947-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700265360 | Candi Harvey | Behavioral Analyst | 8 Long Meadow Pl, Rotonda West, FL 33947-1806 | 2015-05-28 |
| 1164835682 | Jenifer Van Buren | Contractor | 292 Long Meadow Ln, Rotonda West, FL 33947-1810 | 2014-06-03 |
| 1609083724 | Bernardus E Ray | Physician Assistant | 15 Broadmoor Rd, Rotonda West, FL 33947-1901 | 2007-05-17 |
| 1245726090 | George Matthew Sousa | Psychologist | 575 Boundary Blvd, Rotonda West, FL 33947-2033 | 2018-07-05 |
| 1184241945 | Kylie Taylor | Behavior Technician | 307a Boundary Blvd Unit A, Rotonda West, FL 33947-2104 | 2020-06-28 |
| 1164619292 | Connie Volpe | Massage Therapist | 1141 Rotonda Cir, Rotonda West, FL 33947-2120 | 2007-10-02 |
| 1932707643 | James Ferrara Lymphedema Therapist LLC | Occupational Therapist | 1116 Rotonda Cir, Rotonda West, FL 33947-2127 | 2020-10-14 |
| 1659688984 | National Brace Corp. | Durable Medical Equipment & Medical Supplies | 8 Medalist Cir, Rotonda West, FL 33947-2183 | 2010-09-08 |
| 1013207794 | Dme Management Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 8 Medalist Cir, Rotonda West, FL 33947-2183 | 2011-04-14 |
| 1063778629 | Stacy Ann Bowers | Physical Therapy Assistant | 5 Annapolis Ln, Rotonda West, FL 33947-2202 | 2012-04-09 |
| Find all providers in zip 33947 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528361 | Where The Heart Is Home Care Services LLC | Day Training, Developmentally Disabled Services | 110 E Broad St Apt 204, Tampa, FL 33604-4132 | 2020-11-04 |
| 1801496674 | Brandon Martinez | Day Training, Developmentally Disabled Services | 1884 Sw 81st Way, Davie, FL 33324-4609 | 2020-10-29 |
| 1639779721 | The Unique Way LLC | Day Training, Developmentally Disabled Services | 1025 S Ohio Ave Apt 15, Lakeland, FL 33803-1283 | 2020-10-28 |
| 1821696394 | Devotion of Care LLC | Day Training, Developmentally Disabled Services | 1801 Nw 3rd St, Pompano Beach, FL 33069-2756 | 2020-10-15 |
| 1538767298 | Healthy Group Home Project, LLC. | Day Training, Developmentally Disabled Services | 849 Mulberry Ave, Panama City, FL 32401-2556 | 2020-10-15 |
| 1902404742 | Brite Life Adult Training Program, LLC | Day Training, Developmentally Disabled Services | 1300 Nw 95th St, Miami, FL 33147-3320 | 2020-10-14 |
| 1134727845 | Four Seasons Aba | Day Training, Developmentally Disabled Services | 6 Meridian Home Ln, Palm Coast, FL 32137-2402 | 2020-10-14 |
| 1760089429 | Helping Angels Thrive, Inc. | Day Training, Developmentally Disabled Services | 305 Providence Rd Apt 101, Brandon, FL 33511-4739 | 2020-10-06 |
| 1245847268 | Joshua R Grant | Day Training, Developmentally Disabled Services | 2405 Almeda St, Jacksonville, FL 32209-4632 | 2020-09-24 |
| 1417562257 | Peace of Mind Home Care Services | Day Training, Developmentally Disabled Services | 1102 Ray Charles Blvd Unit 314, Tampa, FL 33602-3050 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | ROTONDA WEST |
| Zip Code | 33947 |
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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.