MISS KIM M. JAQUA (NPI# 1659533305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659533305 |
| Entity Type | Individual |
| Full Name | MISS KIM M. JAQUA |
| Credential | DC |
| Practice Address |
6449 38th Ave N Suite B3 St Petersburg FL 33710-1655 |
| Practice Telephone | 7273472225 |
| Mailing Telephone | 7273472225 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2014-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH9579 | FL | Chiropractic Providers |
| Street Address |
6449 38TH AVE N SUITE B3 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459289 | Ultra Imaging of Tampa LLC | Clinic/Center | 6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655 | 2005-07-07 |
| 1811268253 | Henry Earl Cotman, M. D., P. A | Radiology | 6449 38th Ave N, Suite C-3, St Petersburg, FL 33710-1655 | 2012-01-17 |
| 1598928582 | Annette Weis-mcnulty | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2008-07-09 |
| 1992972343 | Babat, Katz and Samuelson Mds Pa | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2008-05-14 |
| 1174790521 | Babat, Katz and Samuelson Mds Pa | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2008-05-14 |
| 1255508248 | Babat, Katz and Samuelson Mds Paa | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2008-05-09 |
| 1902004799 | Well Spring Cancer Center L.L.C. | Specialist | 6449 38th Ave N, Suite C-3, St Petersburg, FL 33710-1655 | 2007-07-03 |
| 1851465082 | George Tyson | Radiology | 6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655 | 2006-11-20 |
| 1750455036 | Horst Herman Blumberg | Radiology | 6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655 | 2006-11-20 |
| 1457447500 | Nasr Hanna | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390433 | Jessica Schofield | Chiropractor | 3202 9th St N, St Petersburg, FL 33704-1202 | 2020-09-10 |
| 1497386577 | Sarah Elizabeth Brumbaugh | Chiropractor | 790 4th Ave S, St Petersburg, FL 33701-4412 | 2020-01-28 |
| 1114565504 | Debra Jane Roche | Chiropractor | 9100 9th St N Apt 508, St Petersburg, FL 33702-3077 | 2019-12-16 |
| 1841838620 | Ashley Therese Martin | Chiropractor | 556 1st Ave N, St Petersburg, FL 33701-3702 | 2019-12-12 |
| 1982169686 | Danielle Fortner | Chiropractor | 6044 30th Ave N, St Petersburg, FL 33710-3334 | 2019-02-06 |
| 1588150445 | Anas Anis Khalaf | Chiropractor | 6740 Crosswinds Dr N Ste A, St Petersburg, FL 33710-5472 | 2018-07-03 |
| 1316455009 | Welcome Home Family Chiropractic & Wellness Center, Pllc | Chiropractor | 3773 Central Ave, St Petersburg, FL 33713-8338 | 2018-01-16 |
| 1538696901 | Manuel Alvin Valverde | Chiropractor | 5203 Central Ave, St Petersburg, FL 33710-8141 | 2017-05-17 |
| 1043744949 | Jake Lowe | Chiropractor | 2253 Central Ave, 106, St Petersburg, FL 33713-8844 | 2017-04-18 |
| 1598201139 | Vicky Poulakis | Chiropractor | 3157 4th St N, St Petersburg, FL 33704-2124 | 2017-01-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.