JESSICA BIBEAU (NPI# 1497364525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497364525 |
| Entity Type | Individual |
| Full Name | JESSICA BIBEAU |
| Credential | LMT |
| Practice Address |
16521 San Carlos Blvd Ste 200 Fort Myers FL 33908-5245 |
| Practice Telephone | 2399942693 |
| Mailing Telephone | 2399942693 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA89976 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063956985 | Jessica Bibeau | Counselor | 287 6th St E, Saint Paul, MN 55101-1654 | 2016-12-12 |
| Street Address |
16521 SAN CARLOS BLVD STE 200 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-5245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471053 | Cassandra Biscardi | Massage Therapist | 9634 Roundstone Cir, Fort Myers, FL 33967-5155 | 2020-09-11 |
| 1316551344 | Jamie Lynne Gilbert | Massage Therapist | 1754 Maple Ave, Fort Myers, FL 33901-6015 | 2020-09-08 |
| 1053925495 | Renata Bailey | Massage Therapist | 5351 Chippendale Cir E, Fort Myers, FL 33919-2237 | 2020-09-02 |
| 1629682398 | Shannon Zimmerman | Massage Therapist | 11550 Villa Grand Apt 1311, Fort Myers, FL 33913-8613 | 2020-09-01 |
| 1275157554 | Jessica Mickelsen | Massage Therapist | 13440 Parker Commons Blvd Ste 103, Fort Myers, FL 33912-1816 | 2020-06-03 |
| 1265082622 | Brenda Schulpius | Massage Therapist | 4460 Fowler St Ste 4, Fort Myers, FL 33901-2617 | 2019-09-18 |
| 1922501089 | Luis Alvarez | Massage Therapist | 2665 Cleveland Ave Ste 201-205, Fort Myers, FL 33901-5850 | 2018-03-15 |
| 1093228512 | Tanya Ashley Solt | Massage Therapist | 2319 Davis Blvd, Fort Myers, FL 33905-4846 | 2017-11-06 |
| 1114306792 | Patricia Ortiz | Massage Therapist | 13120 Westlinks Ter, Unit 9, Fort Myers, FL 33913-8652 | 2015-05-28 |
| 1275963670 | Tifani Megan Revels Lee | Massage Therapist | 6202 Presidential Ct, Suite B, Fort Myers, FL 33919-3563 | 2013-11-21 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on JESSICA BIBEAU.
| 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.