JESSICA STARK (NPI# 1780104398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780104398 |
| Entity Type | Individual |
| Full Name | JESSICA STARK |
| Credential | ARNP |
| Practice Address |
10461 Quality Dr Spring Hill FL 34609-9634 |
| Mailing Address |
7460 Landmark Dr Spring Hill FL 34606-6359 |
| Practice Telephone | 3526666360 |
| Mailing Telephone | (352) 293-4769 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ARNP9257896 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 224 Mariner Blvd, Spring Hill, FL 346095691 | 3526869779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650755 | Jessica Michelle Stark | Nutritionist | 118 Temecula Dr, West Monroe, LA 71292-0476 | 2018-12-17 |
| 1215117643 | Jessica Gayle Irwin Stark | Physician Assistant | 2340 Clay St, 4th Floor Department of Transplant, California Pacific Medical Center, San Francisco, CA 94115 | 2007-11-14 |
| 1366913048 | Jessica Stark | Psychologist | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2018-12-06 |
| 1750878682 | Jessica Stark | Behavior Technician | 1101 S Winchester Blvd Ste C120, San Jose, CA 95128-3901 | 2018-04-17 |
| 1568865061 | Jessica Stark | Behavioral Analyst | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2014-09-29 |
| 1912313198 | Jessica Stark | Dentist | 302 Ne 14th St, Leon, IA 50144-1206 | 2014-07-08 |
| 1174888341 | Jessica Stark | Neurological Surgery | 6400 Fannin St Ste 2150, Houston, TX 77030-1524 | 2012-07-12 |
| Street Address |
10461 QUALITY DR |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34609-9634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457332355 | Citrus Radiology Associates Pa | Radiology | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2005-11-08 |
| 1467923680 | Sir Benjomyne Jaimes Jackson | Dietitian, Registered | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2018-12-16 |
| 1689116618 | W4p LLC | Emergency Medicine | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2016-11-08 |
| 1235599499 | Indian River Emergency Group, LLC | Emergency Medicine | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2016-03-02 |
| 1558734384 | Viking Emergency Physicians, LLC | Physician Assistant | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2015-11-02 |
| 1730551649 | Anemone Emergency Physicians, LLC | Physician Assistant | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2015-10-30 |
| 1407278765 | Hernando Radiology Consultants Pl | Radiology | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2014-01-06 |
| 1154655710 | Thomas E Parks | Physician Assistant | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2009-09-29 |
| 1508000704 | Radcare of Florida LLC | Radiology | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2009-05-01 |
| 1225288384 | Jennifer Lynne Salas | Physician Assistant | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2008-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741970 | Tiffany Dawn Westbrook | Nurse Practitioner | 225 Mariner, Spring Hill, FL 34609 | 2020-02-09 |
| 1215450515 | Jessica Deprimo | Occupational Therapy Assistant | 224-236 Mariner Blvd, Spring Hill, FL 34609 | 2017-07-19 |
| 1760911259 | Sunset Family Inc. | Home Health | 4058 Puffer Trce, Spring Hill, FL 34609 | 2017-06-08 |
| 1073943213 | Isidora Alf, Inc | Assisted Living Facility | 3467 Everett Ave, Spring Hill, FL 34609 | 2013-11-26 |
| 1144667494 | Desiree Gagne | Occupational Therapist | 11216 Spring Hill Dr, Spring Hill, FL 34609 | 2013-05-28 |
| 1659635274 | Miyosia Plummer | Counselor | 7074 Grove Road, Brooksville, FL 34609 | 2012-06-28 |
| 1790074623 | Colleen Landry | Occupational Therapy Assistant | 14075 Cooper Rd, Spring Hill, FL 34609 | 2011-03-31 |
| 1639489438 | Anoop Karanth | Pharmacist | 13303 Haverhill Drive, Springhill, FL 34609 | 2010-10-14 |
| 1619283587 | Spring Hill Primary Care LLC | Internal Medicine | 34 Seven Hills Dr, Spring Hill, FL 34609 | 2010-08-30 |
| 1831330547 | Theresa M. Meloche, A.r.n.p. & Associates, Pllc | Nurse Practitioner | 4120 Charmwood Ave., Spring Hill, FL 34609 | 2009-03-10 |
| Find all providers in zip 34609 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720551047 | Matrix Health Options, LLC. | Family Medicine | 5258 Applegate Dr, Spring Hill, FL 34606-4507 | 2019-01-09 |
| 1114402351 | Florida Wellness Injury Center | Family Medicine | 2412 Commercial Way, Spring Hill, FL 34606-3518 | 2018-10-02 |
| 1033560941 | David Frankel | Family Medicine | 8425 Northcliffe Blvd Ste 110, Spring Hill, FL 34606-1107 | 2016-06-22 |
| 1639551369 | Christiana Bediako | Family Medicine | 1609 Zurich Dr, Spring Hill, TN 37174-7181 | 2015-06-18 |
| 1487067963 | Sean Cannady | Family Medicine | 5421 Main St Ste 1, Spring Hill, TN 37174-4411 | 2014-06-03 |
| 1053722009 | Lauren Michele Dedea | Family Medicine | 8425 Northcliffe Blvd Ste 111&109, Spring Hill, FL 34606-1107 | 2014-05-13 |
| 1740545292 | Daisy Saavedra Rodriguez | Family Medicine | 8425 Northcliffe Blvd Ste 105, Spring Hill, FL 34606-1107 | 2012-07-11 |
| 1962635144 | Proactive Care Medical Group Pa | Family Medicine | 5196 Mariner Boulevard, Spring Hill, FL 34609-1802 | 2009-09-03 |
| 1265669238 | Jeremy L Tharp | Family Medicine | 120 Medical Blvd Ste 102, Spring Hill, FL 34609-0221 | 2009-06-17 |
| 1912133257 | Laura R Shea | Family Medicine | 8425 Northcliffe Blvd Ste 111, Spring Hill, FL 34606-1107 | 2009-06-01 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34609 |
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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.