GARDINE JACQUES (NPI# 1720357023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720357023 |
| Entity Type | Individual |
| Full Name | GARDINE JACQUES |
| Credential | ARNP |
| Practice Address |
7727 Lake Underhill Rd Glycemic Managment Office Orlando FL 32822-8224 |
| Mailing Address |
2415 N Orange Ave Ste 501 Florida Hospital Glycemic Management Orlando FL 32804-5505 |
| Practice Telephone | 4073036749 |
| Mailing Telephone | 4073033254 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2013-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9205667 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7727 LAKE UNDERHILL RD GLYCEMIC MANAGMENT OFFICE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32822-8224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473122 | Birdie M. Varnedore | Psychiatry & Neurology | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2006-03-29 |
| 1982228052 | James Leal | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-06-03 |
| 1326669581 | Quoc Vinh Tran | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-04-29 |
| 1174142236 | Crystal Lynn Browne | Psychiatry & Neurology | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-04-09 |
| 1275162521 | Stephanie Lauren Golding | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-04-07 |
| 1538797691 | David Chang | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-04-01 |
| 1265069652 | Shirin Mobeen | Nurse Practitioner | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-03-25 |
| 1205470036 | Xinqiang Liu | Registered Nurse | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2019-11-05 |
| 1043852593 | Kira Elana Peterman-diaz | Registered Nurse | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2019-10-16 |
| 1962060426 | Joseph Ryan Ray | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697335 | Julie C Figaro | Physical Therapy Assistant | 7209 Curry Ford Ste E, Orlando, FL 32822 | 2020-10-26 |
| 1912411240 | Advanced Mobility of Central Florida Corp | Durable Medical Equipment & Medical Supplies | 5844 S. Semoran Blvd., Orlando, FL 32822 | 2017-11-22 |
| 1467965434 | Ashley Morgan Mcglashen | Behavior Technician | 5773 Gatlin Ave, Orlando, FL 32822 | 2017-11-13 |
| 1801315312 | Ashleigh Boyle | Counselor | 5768 S. Semoran Blvd, Orlando, FL 32822 | 2017-09-15 |
| 1528584943 | Carlos Mario Davila Sr. | Psychologist | 7113 Lakner Way, Orlando, FL 32822 | 2017-08-17 |
| 1760922876 | Guardians of Care, LLC | Family Medicine | 733 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2017-03-08 |
| 1457808529 | Rachel Richardson | Counselor | 5758 S. Seminole Blvd., Orlando, FL 32822 | 2016-09-07 |
| 1215392154 | Teresita Henao | Nurse Practitioner | 900 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2015-12-18 |
| 1407221831 | Jennifer Castro | Psychologist | 4153 S Semoran, Unit 10, Orlando, FL 32822 | 2015-12-10 |
| 1821466616 | Miguel Yanes Delgado | Nurse Practitioner | 5564 East Grant St, Orlando, FL 32822 | 2015-09-10 |
| Find all providers in zip 32822 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395125 | Olayemi Olusola Agbaje | Nurse Practitioner | 5900 Lake Ellenor Dr Ste 150, Orlando, FL 32809-4663 | 2020-10-27 |
| 1871192054 | Maria Lena Afxendiou | Nurse Practitioner | 11058 Grande Pines Cir Apt 821, Orlando, FL 32821-9333 | 2020-10-20 |
| 1396352316 | Erin Fahy | Nurse Practitioner | 2737 Rainbow Springs Ln, Orlando, FL 32828-7783 | 2020-09-24 |
| 1093321457 | Sherry Benson Loiselle | Nurse Practitioner | 19407 Charrice Ct, Orlando, FL 32833-5528 | 2020-09-21 |
| 1861003949 | Raul Junior Beltran | Nurse Practitioner | 1612 E Central Blvd, Orlando, FL 32803-5902 | 2020-08-12 |
| 1780202945 | Vivi Nguyen | Nurse Practitioner | 1700 Sand Lake Rd Ste D112, Orlando, FL 32809-9149 | 2020-07-13 |
| 1902424385 | Estel Angelika Hernandez | Nurse Practitioner | 16039 Old Cheney Hwy, Orlando, FL 32833-2716 | 2020-07-11 |
| 1801414727 | Teresa A Kamps | Nurse Practitioner | 1850 Oak Grove Chase Dr, Orlando, FL 32820-2265 | 2020-07-07 |
| 1073130688 | Iris N Bosse | Nurse Practitioner | 10401 Post Office Blvd W Unit 621212, Orlando, FL 32862-8485 | 2020-06-30 |
| 1902430473 | Faith Daza | Nurse Practitioner | 14315 Golden Rain Tree Blvd, Orlando, FL 32828-4843 | 2020-02-24 |
| Find all providers in ORLANDO | ||||
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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.