DR. JENNIFER MARY AVALLONE (NPI# 1588800429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588800429 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MARY AVALLONE |
| Credential | DO |
| Practice Address |
601 5th St S Ste 510 St Petersburg FL 33701-4804 |
| Mailing Address |
601 5th St. S Suite 501 St. Petersburg FL 33701 |
| Practice Telephone | 7277678181 |
| Mailing Telephone | 7277678181 |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2017-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
OS14496 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
OS14496 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE OF FLORIDA DEPT OF HEALTH | OS14496 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447563531 | Jennifer Marie Avallone | Physical Therapist | 493 Genesee Ave, Staten Island, NY 10312-3205 | 2010-07-19 |
| Street Address |
601 5TH ST S STE 510 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487620621 | Gerald W Hall Jr. | Nurse Practitioner | 601 5th St S Ste 510, St Petersburg, FL 33701-4804 | 2006-02-27 |
| 1962428813 | Thomas J Geller | Psychiatry & Neurology | 601 5th St S Ste 510, St Petersburg, FL 33701-4804 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879364 | Emerald Intraoperative Neuromonitoring, LLC | Psychiatry & Neurology | 7643 Gate Pkwy # 104-983, Jacksonville, FL 32256-2893 | 2020-07-28 |
| 1457722928 | Lobar Medical Pa | Psychiatry & Neurology | 24044 Integrity Way, Sorrento, FL 32776-9353 | 2015-10-09 |
| 1154671022 | Arthur J. Pedregal Md Pa | Psychiatry & Neurology | 4710 N Habana Ave Ste 303, Tampa, FL 33614-7151 | 2012-09-18 |
| 1316246796 | Doctors Neurological Services of Ft Lauderdale Inc | Psychiatry & Neurology | 1452 N Us Highway 1, Suite 103, Ormond Beach, FL 32174-6638 | 2011-03-24 |
| 1326343625 | Ellen I Edgar | Psychiatry & Neurology | 26 Diplomat Pkwy, Ste Cu-3, Hallandale Beach, FL 33009-3721 | 2011-01-18 |
| 1992962161 | Sergio Levi-minzi | Psychiatry & Neurology | 805 Niemen Dr, Palm Beach Gardens, FL 33410-2161 | 2008-05-16 |
| 1184672701 | Damon R Salzman | Psychiatry & Neurology | 12596 Pines Blvd, Pembroke Pines, FL 33027-1766 | 2006-05-05 |
| 1972569291 | Edwin Nelson Peguero Rivera | Psychiatry & Neurology | 4714 N Armenia Ave Ste 202, Tampa, FL 33603-2603 | 2006-04-25 |
| 1821647769 | Neuroclinics, LLC | Psychiatry & Neurology | 9360 Sw 72nd St, Ste 205b, Miami, FL 33173 | 2019-09-04 |
| 1437688033 | Partners Neurodiagnostics LLC | Psychiatry & Neurology | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2017-06-07 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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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.