DR. AUDREY ELAINE JAIN (NPI# 1841275864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841275864 |
| Entity Type | Individual |
| Full Name | DR. AUDREY ELAINE JAIN |
| Credential | D.O. |
| Practice Address |
1033 N Parkway Frontage Rd Lakeland FL 33803-0401 |
| Mailing Address |
Po Box 95004 Lakeland FL 33804-5004 |
| Practice Telephone | 8636478011 |
| Practice Fax Number | 8636478021 |
| Mailing Telephone | 8636807000 |
| Mailing Fax Number | 8662648519 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
82259 | GA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
3633 | TN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C20012975 | DE | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
DO034800 | DC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MB10492700 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E-11899 | AR | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OS12524 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1033 N PARKWAY FRONTAGE RD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-0401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107158 | Tamara Threlkeld Pistoria | Pediatrics | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2005-07-12 |
| 1811432461 | Emily Beriswill | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2017-01-05 |
| 1497137780 | Erica Ford | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2015-06-23 |
| 1992104152 | Laura Dixon | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2014-08-13 |
| 1396169132 | Georgette Farmer | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2014-02-14 |
| 1811139215 | Jarett Aldon Gregory | Internal Medicine | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2009-03-31 |
| 1639353410 | Jean M Kanidis | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2007-12-28 |
| 1437348497 | Catherine Browning Marcum | Dermatology | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2007-10-16 |
| 1124166574 | Watson Clinic LLP | Allergy & Immunology | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2007-02-01 |
| 1902969074 | Allan G Wells | Emergency Medicine | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995239 | Stipkovits Consulting, LLC | Psychiatry & Neurology | 2031 E Edgewood Dr Ste 4, Lakeland, FL 33803-3659 | 2019-01-10 |
| 1043710916 | Draughn Coggins & Moore Consultant, LLC | Psychiatry & Neurology | 2150 Morgan Wieland Ln Apt 108, Lakeland, FL 33813-3189 | 2018-02-17 |
| 1457714834 | Comprehensive Psychiatric Associates LLC | Psychiatry & Neurology | 3126 Highlands Lakeview Cir, Lakeland, FL 33812-5083 | 2016-04-01 |
| 1578720165 | Rosa Enis Negron-munoz | Psychiatry & Neurology | 1014 S Florida Ave Ste 201, Lakeland, FL 33803-1130 | 2008-05-21 |
| 1437248457 | Edmund Carr Settle Jr. | Psychiatry & Neurology | 500 S Florida Ave Ste 210, Lakeland, FL 33801-5252 | 2006-10-11 |
| 1669589891 | Agnes T Tolentino | Psychiatry & Neurology | 1450 Hollingsworth Oaks Dr, Lakeland, FL 33803-2355 | 2006-08-24 |
| 1760419667 | Yasmeen Kirmani | Psychiatry & Neurology | 4115 Audubon Oaks Cir, Apt. 101, Lakeland, FL 33809-5943 | 2006-06-27 |
| 1285689372 | Brainchem Center LLC | Psychiatry & Neurology | 204 Lake Harris Dr, Lakeland, FL 33813-2632 | 2006-05-24 |
| 1609831098 | Emilio Francisco Montero | Psychiatry & Neurology | 1812 Lakeland Hills Blvd, Lakeland, FL 33805-3004 | 2006-04-19 |
| 1558354175 | Devyani N Desai | Psychiatry & Neurology | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2005-08-30 |
| Find all providers in LAKELAND | ||||
Please comment or provide details below to improve the information on DR. AUDREY ELAINE JAIN.
| 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.