TARKESHIA SHUMAN (NPI# 1376072777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376072777 |
| Entity Type | Individual |
| Full Name | TARKESHIA SHUMAN |
| Practice Address |
3150 Broadway Ave Jacksoville FL 32254 |
| Mailing Address |
3150 Broadway Ave Jacksonville FL 32254-3106 |
| Practice Telephone | 9045708601 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | S550-804-88-585-0 | 05 | |
| FL | S550804885850 | 05 |
| Street Address |
3150 BROADWAY AVE |
| City | JACKSOVILLE |
| State | FL |
| Zip Code | 32254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673385 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 W Palm Ave Ste 210, Jacksonville, FL 32254 | 2018-06-18 |
| 1578072112 | Jules M Jean-pierre | Counselor | 2392 North Edgewood Avenue, Jacksonville, FL 32254 | 2017-09-27 |
| 1356869051 | Volaura Shanae Anderson | Counselor | 590 Ellis Rd, Jacksonville, FL 32254 | 2017-09-01 |
| 1962928291 | Angel Spivie | Counselor | 590 Ellis Road South Building 4, Jacksonville, FL 32254 | 2017-08-18 |
| 1770931636 | Mamie Faith Peterson-mclaurn | Home Health | 2747 Sophia St, Jax, FL 32254 | 2016-06-01 |
| 1760803373 | Marian Lavonne Jones | Custodial Care Facility | 3501 Centerhill Dr. North, Jacksonville, FL 32254 | 2013-12-27 |
| 1659543981 | Monique Bosque-perez | Family Medicine | 781 Edgewood Ave N, Ufjp Commonwealth Family Practice, Jacksonville, FL 32254 | 2008-03-26 |
| 1508906652 | James Keith Riesz | Physical Therapist | 800 Lomax Street, Suite 105, Jacksonville, FL 32254 | 2007-02-07 |
| 1003903865 | Sabrina F Sessions | Pharmacist | 5050 Edgewood Court, Jacksonville, FL 32254 | 2006-10-05 |
| 1316048143 | Ester S Macam | Psychiatry & Neurology | 3333 West 20th Street, Jacksonville, FL 32254 | 2006-09-26 |
| Find all providers in zip 32254 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
| 1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
| 1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
| 1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
| 1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
| 1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
| 1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
| 1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
| 1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
| 1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | JACKSOVILLE |
| Zip Code | 32254 |
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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.