JACQUELINE HOSKINS (NPI# 1316475171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316475171 |
Entity Type | Individual |
Full Name | JACQUELINE HOSKINS |
Credential | RN |
Practice Address |
2644 Kingsmill Ave Melbourne FL 32934-7583 |
Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
Practice Telephone | (914) 523-1806 |
Mailing Telephone | 3213615623 |
Enumeration Date | 2017-05-24 |
Last Update Date | 2020-09-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN11005851 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
11005851 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE | PENDING | 01 |
FL | PENDING | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
205 E Nasa Blvd Fl 2, Melbourne, FL 329011950 | 3213615623 |
Street Address |
2644 KINGSMILL AVE |
City | MELBOURNE |
State | FL |
Zip Code | 32934-7583 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
Find all providers in zip 32934 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255773701 | Mobile Physicians Group Inc | Nurse Practitioner | 1010 E New Haven Ave Ste B, Melbourne, FL 32901 | 2013-07-25 |
1598100893 | Serina Wisnewski | Nurse Practitioner | 2955 Pineda Plaza Way, Suite: 115, Melbourne, FL 32940-7318 | 2013-05-01 |
1841521176 | Leonora Lillian Conte | Nurse Practitioner | 325 Tangle Run Blvd Apt 1112, Melbourne, FL 32940-1831 | 2010-01-27 |
1407073943 | Paige Michelle Ahammer | Nurse Practitioner | 221 W Hibiscus Blvd, Suite 401, Melbourne, FL 32901-3044 | 2007-04-19 |
1326033085 | Michelle Wiedenhoeft | Nurse Practitioner | 3661 S Babcock St, 2nd Floor, Melbourne, FL 32901-8205 | 2005-09-19 |
1861491565 | Marva Edwards-marshall | Nurse Practitioner | 720 E New Haven Ave, Melbourne, FL 32901-5474 | 2005-07-15 |
1801891585 | Bruce Robert Simpkins | Nurse Practitioner | 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205 | 2005-06-17 |
1053922476 | Cory Louis Nayfield | Nurse Practitioner | 2200 W Eau Gallie Blvd Ste 200, Melbourne, FL 32935-3166 | 2020-08-10 |
1457830556 | Heidi Jo Sommers | Nurse Practitioner | 1131 W New Haven Ave, Melbourne, FL 32904-4110 | 2018-08-09 |
1558872606 | Julie Ann Starr | Nurse Practitioner | 8247 Devereux Dr Ste 102, Melbourne, FL 32940-8227 | 2017-10-17 |
Find all providers in MELBOURNE |
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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.