MISS CRISTINA BROCK DE JESUS (NPI# 1851917967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851917967 |
| Entity Type | Individual |
| Full Name | MISS CRISTINA BROCK DE JESUS |
| Credential | APRN |
| Practice Address |
3250 Zemke Ave Tampa FL 33621-5023 |
| Practice Telephone | 8138282273 |
| Mailing Telephone | 8138282273 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN11004622 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3250 ZEMKE AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33621-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621856 | Michael Andre Couvillon | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2005-07-07 |
| 1437756343 | Molly Buchanan | Optometrist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-10-04 |
| 1588283188 | Echo Sims | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275152852 | Kimberley Nichole Wissner | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275171233 | Michael David Jensen | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-12-20 |
| 1023661196 | Jazzy-mae Nieto | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-07-18 |
| 1588227243 | Max E Lindgren | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-18 |
| 1366904948 | Sindy Johanna Maldonado | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-03 |
| 1164993135 | Jessica Hague | Psychologist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2018-12-17 |
| 1396216578 | Colleen Bernal | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1922407659 | Michelle Lind | Social Worker | 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 | 2014-08-19 |
| 1588932768 | Katherine Holmes | Physician Assistant | 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2011-12-02 |
| 1558378273 | Graeme Charles Bicknell | Social Worker | 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 | 2006-08-02 |
| 1659346146 | Laura Umfer | Psychologist | 4515 Bayshore Blvd, Tampa, FL 33621 | 2006-02-20 |
| 1205808516 | Kenneth Joseph Baron | Physician Assistant | 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 | 2006-02-02 |
| 1760478044 | Michael Glenn Hodges | Family Medicine | 3250 Zerkle Avenue, Macdill Afb, FL 33621 | 2005-09-22 |
| 1003801242 | Heather Ann Newman | Nurse Anesthetist, Certified Registered | 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 | 2005-09-14 |
| 1861486789 | Daniel N. Park | Physician Assistant | Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2005-09-07 |
| 1164675070 | 6 Medical Group | Military Hospital | 8415 Bayshore Blvd, Macdill Base, Tampa, FL 33621 | 2008-10-23 |
| Find all providers in zip 33621 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157669 | Lotaya Anneka Hinds | Nurse Practitioner | 2105 E 115th Ave, Tampa, FL 33612-6121 | 2020-09-03 |
| 1821608324 | Racquel Creus | Nurse Practitioner | 20530 Colonial Isle Dr Unit 202, Tampa, FL 33647-3701 | 2020-08-09 |
| 1295360717 | Geni Horne | Nurse Practitioner | 931 Balaye Ridge Cir Apt 301, Tampa, FL 33619-5093 | 2020-03-04 |
| 1669006748 | Andrea Barnett | Nurse Practitioner | 3133 W Villa Rosa St, Tampa, FL 33611-2943 | 2020-02-27 |
| 1679104566 | Chinwe Ifeyinwa Iloanya | Nurse Practitioner | 4603 River Hills Dr, Tampa, FL 33617-6921 | 2020-01-29 |
| 1598231789 | Christee Elan Bond | Nurse Practitioner | 4809 N Armenia Ave Ste 210, Tampa, FL 33603-1425 | 2018-10-16 |
| 1609378991 | Randolph Diabetes and Wellness LLC | Nurse Practitioner | 8017 Savannah Sunset Ln, Tampa, FL 33615-1388 | 2018-03-02 |
| 1912407628 | Jonathan D Pope | Nurse Practitioner | 2708 N 22nd St, Tampa, FL 33605-2760 | 2018-02-19 |
| 1639607732 | Jackie Dale Hatten Jr. | Nurse Practitioner | 500 N West Shore Blvd Ste 635, Tampa, FL 33609-1910 | 2017-06-01 |
| 1629519814 | Kristen Hanenian | Nurse Practitioner | 4905 W Laurel St, Suite 200, Tampa, FL 33607-3834 | 2017-03-20 |
| Find all providers in TAMPA | ||||
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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.