DEREK JENSEN


Address: 3800 Sw 34th St Apt A5, Gainesville, FL 32608-2532
Phone: 7022878474

DEREK JENSEN (NPI# 1669872420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669872420
Entity Type Individual
Full Name DEREK JENSEN
Practice Address 3800 Sw 34th St Apt A5
Gainesville
FL 32608-2532
Practice Telephone 7022878474
Mailing Telephone 7022878474
Enumeration Date 2014-08-29
Last Update Date 2014-08-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
0 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program 0 FL Student, Health Care

Other Providers DEREK JENSEN

NPI Name Taxonomy Address Enumeration
1730791435 Derek Michael Jensen Military Health Care Provider 1st Medical Battalion, 22 Area Bldg. 22190, Oceanside, CA 92058 2020-08-24
1326685454 Derek Jensen Behavior Technician 307 W Cota St, Shelton, WA 98584-2265 2019-12-09
1295227031 Derek Scott Jensen Counselor 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 2018-06-06
1982067526 Derek Jensen Student in an Organized Health Care Education/Training Program 2301 Holmes St, Kansas City, MO 64108-2640 2016-03-31

Office Location

Street Address 3800 SW 34TH ST APT A5
City GAINESVILLE
State FL
Zip Code 32608-2532

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609426758 Earlene Mae Anderson Technician 7770 Sw 47th Lane, Gainesville, FL 32608 2019-09-19
1588214720 Jimmie Lee Crawford Technician 7427 Sw 63rd Terrace, Gainesville, FL 32608 2019-09-19
1306495346 Lori Turbow Technician 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 2019-09-11
1285281527 Advance Best Care Medical Services LLC In Home Supportive Care 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 2019-08-21
1669948097 Eric Scott Traub Genetic Counselor, MS 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 2018-10-24
1457834053 Riverswarmingtouch LLC Adult Companion 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 2018-09-10
1811481252 Anthony Farmer Dentist 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 2018-06-19
1184112823 Zoraida Vazquez Early Intervention Provider Agency 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 2018-04-27
1942739214 Brittany R Brown Homemaker 2908 Sw 38th Place, Gainesville, FL 32608 2017-06-08
1639605801 Touch of Care,llc Home Health 6040 Sw 63rd Blvd, Gainesville, FL 32608 2017-05-10
Find all providers in zip 32608

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386269397 Andrew James Herrington Student in an Organized Health Care Education/Training Program 2510 Ne 9th St Apt 501, Gainesville, FL 32609-6001 2020-06-15
1679197495 Colette R Rackleff Student in an Organized Health Care Education/Training Program 4240 Nw 129th St, Gainesville, FL 32606-3549 2020-06-08
1821613605 Andrew Barton Student in an Organized Health Care Education/Training Program 1240 Sw 11th Ave Apt B211, Gainesville, FL 32601-8265 2020-06-08
1861016982 Kate Shannahan Student in an Organized Health Care Education/Training Program 4551 Nw 1st Ave, Gainesville, FL 32607-2223 2020-06-04
1790309011 Michael Massari Student in an Organized Health Care Education/Training Program Uf Health 1600 Sw Archer Rd, Gainesville, FL 32610-0001 2020-06-02
1346863396 Loveneet Kaur Student in an Organized Health Care Education/Training Program 7225 Winnipeg Ct, Gainesville, VA 20155-4877 2020-05-26
1326660176 Lindsay Bouchard Student in an Organized Health Care Education/Training Program 6012 Sw 75th Ter Apt 308, Gainesville, FL 32608-5092 2020-05-15
1184245938 Aaron Scarpa Student in an Organized Health Care Education/Training Program Shands Hospital 1600 Sw Archer Rd, Gainesville, FL 32610-0001 2020-05-04
1417578592 Dylan Jude Ong Student in an Organized Health Care Education/Training Program 1329 Sw 16 Street 4th Floor, Gainesville, FL 32610-3424 2020-04-30
1134749591 Vladislav Korenblit Student in an Organized Health Care Education/Training Program 1149 Newell Dr # L3-100, Gainesville, FL 32610-0236 2020-04-25
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 32608

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Dataset Information

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.

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