JACQUELYN O'DONNELL (NPI# 1518402767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518402767 |
| Entity Type | Individual |
| Full Name | JACQUELYN O'DONNELL |
| Credential | PA-C |
| Practice Address |
120 Sweetbriar Br Longwood FL 32750-2715 |
| Practice Telephone | 4077335203 |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9110096 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285992156 | Jacquelyn A O'donnell | Registered Nurse | 240 Mastic Beach Rd, William Floyd School District, Mastic Beach, NY 11951-1028 | 2012-04-30 |
| Street Address |
120 SWEETBRIAR BR |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178691 | Matthew Berwager | Physician Assistant | 1500 Tracy Dee Way, Longwood, FL 32779-4716 | 2019-11-08 |
| 1942717285 | Forrest Saunders | Physician Assistant | 451 S Milwee St Ste 1010, Longwood, FL 32750-4137 | 2018-01-09 |
| 1659676435 | Jennifer Leigh Strong | Physician Assistant | 1451 Dunbrooke Loop, Longwood, FL 32779 | 2011-01-25 |
| 1659599447 | Nancy Rose Zuker | Physician Assistant | 1400 W State Road 434 Ste 1010, Longwood, FL 32750 | 2007-04-24 |
| 1427271907 | Melody Marie Johnson | Physician Assistant | 357 Wekiva Springs Rd, Longwood, FL 32779-3607 | 2007-04-11 |
| 1215415633 | Connor J Mcvey | Physician Assistant | 455 W Warren Ave, Longwood, FL 32750-4038 | 2018-07-30 |
| 1568851699 | Sallyann Marchi | Physician Assistant | 521 West State Road 434, Suite 101, Longwood, FL 32750-4952 | 2015-01-13 |
| 1346589884 | Amjad A Shaikh | Physician Assistant | 450 W Sr 434 Ste 3010, Longwood, FL 32750-5196 | 2013-02-04 |
| 1477839033 | Julianne Purdy | Physician Assistant | 555 W State Road 434, Longwood, FL 32750-5119 | 2011-10-27 |
| 1144528522 | Michael Lee Sampson | Physician Assistant | 515 W State Road 434, Ste 203, Longwood, FL 32750-5162 | 2011-03-08 |
| Find all providers in LONGWOOD | ||||
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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.