LISSETTE TAVERAS (NPI# 1306409164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306409164 |
| Entity Type | Individual |
| Full Name | LISSETTE TAVERAS |
| Practice Address |
4578 Brandy Oak Ct Jacksonville FL 32257-8818 |
| Practice Telephone | 9043149859 |
| Practice Fax Number | 9043257018 |
| Mailing Telephone | 9043149859 |
| Mailing Fax Number | 9043257018 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
4578 BRANDY OAK CT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-8818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267480 | Promedical Transportation, LLC | Non-emergency Medical Transport (VAN) | 4578 Brandy Oak Ct, Jacksonville, FL 32257-8818 | 2019-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124089 | Team Williams Limited Liability Company | Non-emergency Medical Transport (VAN) | 1378 Summit Oaks Dr W, Jacksonville, FL 32221-3240 | 2020-04-29 |
| 1831728419 | Angela Gaines | Non-emergency Medical Transport (VAN) | 8556 Sturbridge Cir W, Jacksonville, FL 32244-6188 | 2020-04-05 |
| 1609409259 | Whc Jax LLC | Non-emergency Medical Transport (VAN) | 5154 Edward St, Jacksonville, FL 32254-1621 | 2020-02-21 |
| 1366075731 | Carmena Non-medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1141 W 9th St, Jacksonville, FL 32209-5640 | 2020-02-13 |
| 1427689082 | Med Family Care Transport Corp | Non-emergency Medical Transport (VAN) | 7245 Oakwood Dr, Jacksonville, FL 32211-7653 | 2020-01-31 |
| 1699305474 | Roman Destination Transportation LLC | Non-emergency Medical Transport (VAN) | 1499 Guardian Dr, Jacksonville, FL 32221-8028 | 2020-01-22 |
| 1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
| 1871133934 | Agape Community Health Mobile Unit | Non-emergency Medical Transport (VAN) | 1880 Edgewood Ave W, Jacksonville, FL 32208-3021 | 2020-01-07 |
| 1194364513 | Ace A1 Transportation LLC | Non-emergency Medical Transport (VAN) | 2120 Wilson St, Jacksonville, FL 32209-5454 | 2020-01-02 |
| 1427695113 | Michael Gervis Snead | Non-emergency Medical Transport (VAN) | 7336 Colony Cove Ln, Jacksonville, FL 32277-2791 | 2019-12-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on LISSETTE TAVERAS.
| 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.