JISHAMOL PAUL (NPI# 1467961094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467961094 |
| Entity Type | Individual |
| Full Name | JISHAMOL PAUL |
| Credential | ARNP |
| Practice Address |
4435 Us Highway 98 N Lakeland FL 33809-0402 |
| Mailing Address |
3810 S Florida Ave Lakeland FL 33813-1105 |
| Practice Telephone | 8638588000 |
| Mailing Telephone | 8638588000 |
| Mailing Fax Number | 8636195102 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9253748 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9253748 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4435 US HIGHWAY 98 N |
| City | LAKELAND |
| State | FL |
| Zip Code | 33809-0402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316224033 | Doctor Today Urgent Care LLC | Clinic/Center | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2011-11-09 |
| 1730744350 | Sandra Lee Collier | Nurse Practitioner | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2019-05-08 |
| 1063998631 | Julie Shaju | Nurse Practitioner | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2018-07-17 |
| 1922593367 | Jay K Samak | Physician Assistant | 4435 Us Highway 98 N, Lakeland, FL 33809 | 2018-06-28 |
| 1710495189 | Michael Verdul | Nurse Practitioner | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2018-01-18 |
| 1710381223 | Doctortoday Tlc,llc | Pharmacy | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2014-10-13 |
| 1669875670 | Esdra Jean Baptiste | General Practice | 4435 Us Highway 98 N, Suit B, Lakeland, FL 33809-0402 | 2014-10-03 |
| 1447675657 | Stanislav Chavik | General Practice | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018178 | John C Gallik | Military Health Care Provider | 3176 Corporal Johnson Road, Jbsa Fort Sam Houston, TX 33809 | 2020-06-23 |
| 1376189209 | Julie Independence Tomchak | Nurse's Aide | 7805 Us Highway Lot 29 # 98 N, Lakeland, FL 33809 | 2019-11-26 |
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1235528753 | Christia Mccann | Physician Assistant | 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 | 2015-01-21 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1164769980 | Christopher Fisher | Hearing Instrument Specialist | 3800 North Rd 98, Ste 500, Lakeland, FL 33809 | 2013-01-14 |
| 1023374063 | Eagle Lake Pharmacy Inc | Pharmacy | 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 | 2012-04-04 |
| 1851669675 | Reginald Keith Jenkins | Pharmacist | 1043 Walt Williams Road, Lakeland, FL 33809 | 2011-12-07 |
| 1578859633 | Jill Margaret Waldrop | Pharmacist | 6600 N. Socrum Loop, Lakeland, FL 33809 | 2011-06-27 |
| Find all providers in zip 33809 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737370 | Shurine L Handfield | Nurse Practitioner | 7157 Heatherbrook Dr, Lakeland, FL 33809-4626 | 2019-08-27 |
| 1598256158 | Ruth Gobourne | Nurse Practitioner | 7969 Oak Run Cir, Lakeland, FL 33809-7253 | 2018-05-18 |
| 1811360092 | Lisa Hiestand | Nurse Practitioner | 5929 Colony Place Dr, Lakeland, FL 33813-2872 | 2015-11-10 |
| 1558357418 | Mavra E Kear | Nurse Practitioner | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2005-09-26 |
| 1528614104 | Erica Lynn Novatka | Nurse Practitioner | 4315 Highland Park Blvd Ste A, Lakeland, FL 33813-1639 | 2019-08-10 |
| 1689106965 | Christine Fechter | Nurse Practitioner | 206 N Florida Ave, Lakeland, FL 33801 | 2017-03-28 |
| 1003175720 | Ana Lymaries Velez | Nurse Practitioner | 4715 S Florida Ave Ste 200, Lakeland, FL 33813-2101 | 2012-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.