MS. BEVERLY SUZANNE JUCKNATH (NPI# 1235693268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235693268 |
Entity Type | Individual |
Full Name | MS. BEVERLY SUZANNE JUCKNATH |
Credential | APRN-C |
Practice Address |
3003 W Dr Martin Luther King Jr Blvd Fl 2 Tampa FL 33607-6307 |
Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
Practice Telephone | 8133216580 |
Practice Fax Number | 8134438185 |
Mailing Telephone | 7275321355 |
Mailing Fax Number | 8136352613 |
Enumeration Date | 2019-01-23 |
Last Update Date | 2020-06-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN9361508 | FL | Nursing Service Providers |
Y | 363L00000X | Nurse Practitioner | APRN11003292 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN11003292 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 106459800 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
777 N Ashley Dr Unit 3211, Tampa, FL 336024387 | 4074966187 |
Street Address |
3003 W DR MARTIN LUTHER KING JR BLVD FL 2 |
City | TAMPA |
State | FL |
Zip Code | 33607-6307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194761973 | Jonathan Waxman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2006-06-21 |
1265930267 | Mackenzie Donigan Saadeh | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2018-01-25 |
1841701125 | Zoe Rose Quinn-kelly | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2017-10-13 |
1659892651 | Bari Murtuza | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2017-06-29 |
1912459249 | David A Wiles | Nurse Practitioner | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2016-11-03 |
1720537921 | Paolo Calizo | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607 | 2016-09-28 |
1366815870 | Angela P Laube | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2015-11-05 |
1275891913 | John P Schmittner | Internal Medicine | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2012-05-01 |
1407090723 | Phillips Brewster Harrington | Surgery | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607 | 2009-04-30 |
1982866133 | Alexis R Powell | Surgery | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607 | 2008-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
Find all providers in zip 33607 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356953905 | Mayelin Matos | Nurse Practitioner | 8320 W Pocahontas Ave, Tampa, FL 33615-2821 | 2020-08-17 |
1184235483 | Kety Uriarte | Nurse Practitioner | 4100 N Tampania Ave, Tampa, FL 33607-6830 | 2020-08-11 |
1861001919 | Deborah Diaz Telesford | Nurse Practitioner | 10709 Pleasant Knoll Dr, Tampa, FL 33647-3667 | 2020-07-24 |
1699392936 | Medjine Noel | Nurse Practitioner | 7412 French Marigold Ave, Tampa, FL 33619-6941 | 2020-07-02 |
1407472129 | Evisencia Mathurin | Nurse Practitioner | 9618 Oak Glade Ave, Tampa, FL 33647-2985 | 2020-06-18 |
1811518111 | Ji Universal Medical Group LLC | Nurse Practitioner | 8903 Regents Park Dr Ste 120, Tampa, FL 33647-3083 | 2020-04-28 |
1609414135 | Yaima Rodriguez | Nurse Practitioner | 7520 Brookhaven Ct, Tampa, FL 33634-2924 | 2019-12-16 |
1366087322 | Sajani Patel | Nurse Practitioner | 5210 Webb Rd Fl 33615, Tampa, FL 33615-4518 | 2019-11-14 |
1518501337 | Courtney Anne Sink | Nurse Practitioner | 10515 Villa View Cir, Tampa, FL 33647-2599 | 2019-11-05 |
1013472612 | Matthew Bragg | Nurse Practitioner | 13019 Delwood Rd, Tampa, FL 33624-4305 | 2019-02-07 |
Find all providers in TAMPA |
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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.