DR. JENNIFER M. GILLETTE (NPI# 1578855698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578855698 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER M. GILLETTE |
| Other Name | DR. JENNIFER M. GILLETTE |
| Practice Address |
1500 Se 13th St Fort Lauderdale FL 33316-2212 |
| Practice Telephone | 9542570711 |
| Mailing Telephone | 9542570711 |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2011-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PY 8276 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 8276 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528473204 | Jennifer Gillette | Acupuncturist | 5690 Yorkhull Ct Apt B, Columbus, OH 43229-3847 | 2014-06-21 |
| 1295336741 | Jennifer Robin Gillette | Counselor | 6401 A St, Anchorage, AK 99518-1824 | 2020-11-02 |
| 1376166330 | Jennifer Lynn Gillette | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-05-26 |
| 1710139431 | Jennifer Lyn Gillette | Social Worker | 3550 Se Woodward St, Portland, OR 97202-1552 | 2008-10-13 |
| 1902966518 | Jennifer Gale Gillette | Social Worker | 22301 Foster Winter Dr, 3rd Floor, Southfield, MI 48075-3707 | 2006-12-12 |
| Street Address |
1500 SE 13TH ST |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| 1508483355 | Elizabeth Levin | Psychologist | 3250 Ne 28th St Apt 303, Fort Lauderdale, FL 33308-7446 | 2020-06-27 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1679001465 | Ainsley Kennard | Psychologist | 1975 E Sunrise Blvd Ste 511, Fort Lauderdale, FL 33304-1409 | 2017-05-24 |
| 1508308511 | Marcela Mejia | Psychologist | 2425 E Commercial Blvd Ste 405, Fort Lauderdale, FL 33308-4029 | 2016-11-08 |
| 1083087456 | Kelley Gill | Psychologist | 1752 Nw 3rd Ter, #213, Fort Lauderdale, FL 33311-4885 | 2015-11-07 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1679974877 | Jennifer Ellen Ackrish | Psychologist | 915 Middle River Dr Ste 410, Fort Lauderdale, FL 33304-3561 | 2014-09-08 |
| 1629410915 | Jessie Jenny Alfin | Psychologist | 1400 Nw 14th Ct, Fort Lauderdale, FL 33311-5426 | 2013-07-27 |
| 1366796435 | Heather Robinson Violante | Psychologist | 2419 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4042 | 2012-10-29 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on DR. JENNIFER M. GILLETTE.
| 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.