JESSICA BOBERG HARRIS (NPI# 1245486182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245486182 |
| Entity Type | Individual |
| Full Name | JESSICA BOBERG HARRIS |
| Credential | CCC-SLP |
| Practice Address |
910 S Winterhawk Dr Unit 101 St Augustine FL 32086-3870 |
| Practice Telephone | (904) 217-7648 |
| Practice Fax Number | 3526663232 |
| Mailing Telephone | (904) 217-7648 |
| Mailing Fax Number | 3526663232 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2017-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | SA7351 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154825 | Jessica Rea Harris | Social Worker | 409 Capitol View Dr, Jefferson City, MO 65101-3904 | 2020-05-05 |
| 1235602822 | Jessica Dawn Harris | Social Worker | 5885 S Bob White Dr, Kimball, MI 48074-4619 | 2019-01-07 |
| 1518432277 | Jessica Harris | Chiropractor | 4073 Lavista Rd Ste 371, Tucker, GA 30084-5221 | 2018-10-09 |
| 1497242564 | Jessica Harris | Specialist/Technologist | 2962 Woodcrest Dr, Panama City, FL 32405-2033 | 2018-04-15 |
| 1801391149 | Jessica L Harris | Licensed Vocational Nurse | 14 Bayberry Ct, Wichita Falls, TX 76310-3423 | 2018-03-28 |
| 1629589395 | Jessica Harris | Counselor | 13602 Colgate Way Apt 648, Silver Spring, MD 20904-7218 | 2017-10-20 |
| 1518488238 | Jessica Faye Harris | Marriage & Family Therapist | 2001 S Barrington Ave Ste 117, Los Angeles, CA 90025-5337 | 2017-07-03 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| 1336543024 | Jessica Harris | Physical Therapy Assistant | 1624 Corinthian Dr, Apt 1815, Florence, KY 41042-8879 | 2014-10-09 |
| 1396018370 | Jessica N Harris | Counselor | 380 Akolea Rd, Hilo, HI 96720-1522 | 2012-02-21 |
| Street Address |
910 S WINTERHAWK DR UNIT 101 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346672375 | Jennifer Price | Respiratory Therapist, Registered | 910 S Winterhawk Dr Unit 101, St Augustine, FL 32086-3870 | 2013-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969822 | Bonnye Melissa Guidry | Specialist/Technologist | 104 Bessemer Cir, Brandon, FL 33511-7953 | 2019-12-12 |
| 1396396792 | Genesis 2 Naturals LLC | Specialist/Technologist | 1746 E Silver Star Rd Ste 121, Ocoee, FL 34761-7014 | 2019-09-26 |
| 1942850698 | Brittany Renee Stamm | Specialist/Technologist | 4635 Barchetta Dr, Land O Lakes, FL 34639-9593 | 2019-09-15 |
| 1962968701 | Justin Klotz | Specialist/Technologist | 3205 E Olive Rd Apt 57, Pensacola, FL 32514-6272 | 2019-02-18 |
| 1073045829 | Alessandra Esnard | Specialist/Technologist | 5825 Sw 60th Ave, South Miami, FL 33143-2235 | 2017-03-31 |
| 1952832198 | Shanta Simpson | Specialist/Technologist | 4217 Trumpworth Ct, Valrico, FL 33596-8494 | 2017-03-21 |
| 1518412592 | Morgan Lee Maya | Specialist/Technologist | 6335 S Renellie Ct, Tampa, FL 33616-1338 | 2016-08-19 |
| 1730555343 | Nelly Escobar | Specialist/Technologist | 1129 Big Creek Dr, Wesley Chapel, FL 33544-7630 | 2015-08-18 |
| 1730561663 | Michael Bush | Specialist/Technologist | 1090 E Eau Gallie Blvd, Indian Harbour Beach, FL 32937-4917 | 2015-06-27 |
| 1508287731 | Ari Gronich | Specialist/Technologist | 306 Orange St, Melbourne Beach, FL 32951-2628 | 2013-12-13 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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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.