JENNIFER SOUTH (NPI# 1790162568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790162568 |
| Entity Type | Individual |
| Full Name | JENNIFER SOUTH |
| Credential | RN, IBCLC, RLC |
| Practice Address |
4212 Lancaster Gate Dr Pace FL 32571-7397 |
| Practice Telephone | 5042200364 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L-27845 | ZZ | Nursing Service Providers |
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
RN9356860 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821467283 | Jennifer South | Counselor | 111 South Spring St Ste 9, Bellefonte, PA 16823-1250 | 2015-09-16 |
| 1710159181 | Jennifer L South | Occupational Therapist | 15871 Nw Dairy Creek Rd, North Plains, OR 97133-6108 | 2008-03-26 |
| 1114429131 | Jennifer L South | Counselor | 110 Campus Dr, Bradford, PA 16701-1982 | 2018-03-06 |
| Street Address |
4212 LANCASTER GATE DR |
| City | PACE |
| State | FL |
| Zip Code | 32571-7397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547146 | Amy Fritsch | Registered Nurse | 1812 Atlantis Pl, Tallahassee, FL 32303-5256 | 2020-08-05 |
| 1407465016 | Holly Mchugh Lactation Services LLC | Registered Nurse | 1243 Stone Harbour Rd, Winter Springs, FL 32708-4740 | 2020-07-29 |
| 1740898022 | Sophia Brown | Registered Nurse | 3751 Beneraid St, Land O Lakes, FL 34638-7921 | 2020-07-22 |
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1831710763 | Sabrina Barber | Registered Nurse | 4861 Whistler Dr, Orlando, FL 32812-6810 | 2020-05-01 |
| 1326669466 | Patrice Davis | Registered Nurse | 2238 Colville Chase Dr, Ruskin, FL 33570-6304 | 2020-04-29 |
| 1588283469 | Rachel Nieves | Registered Nurse | 3397 Westfield Dr, Green Cove Springs, FL 32043-5249 | 2020-04-10 |
| 1619503778 | Cecilia Lissette Betancourt | Registered Nurse | 5105 Sw 129th Ave, Miami, FL 33175-5333 | 2020-03-19 |
| 1811527062 | Kathleen Murphy Powers | Registered Nurse | 250 2nd St E Ste 3f, Bradenton, FL 34208-1027 | 2020-01-16 |
| 1629624580 | The Nest of Lakeland | Registered Nurse | 3838 Lakeland Hills Blvd, Lakeland, FL 33805-1980 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
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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.