JACQUELINE BERTOLLI (NPI# 1902454572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902454572 |
| Entity Type | Individual |
| Full Name | JACQUELINE BERTOLLI |
| Other Name | JACQUI BERTOLLI-ROUTH |
| Credential | APRN |
| Practice Address |
1900 Brother Geenen Way Sarasota FL 34236-7102 |
| Mailing Address |
8337 Turnberry Cir Sarasota FL 34241-9643 |
| Practice Telephone | 9415563220 |
| Mailing Telephone | 7202318586 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11002580 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1900 BROTHER GEENEN WAY |
| City | SARASOTA |
| State | FL |
| Zip Code | 34236-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849211 | Howard Harvey Tessler | Ophthalmology | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2005-05-24 |
| 1154778322 | Stephen Stambler | Dentist | 1900 Brother Geenen Way, Sarasota, FL 34236 | 2016-05-18 |
| 1396190898 | Matthew Brown | Dentist | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2016-05-03 |
| 1255786737 | Stanley Wright | Dentist | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2016-05-03 |
| 1467807966 | Konrad Marine | Dentist | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2016-05-03 |
| 1669846440 | Tullio L. Coccia | Orthopaedic Surgery | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2015-11-17 |
| 1417327578 | Bartram Levenson | Dentist | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2015-10-01 |
| 1164810818 | Andi Munzer | Social Worker | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2015-01-05 |
| 1427338466 | Nicole Barratt Elsheimer | Nurse Practitioner | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2011-08-22 |
| 1033435458 | Thomas Alfred Vest | Obstetrics & Gynecology | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2010-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065122 | Pines of Sarasota Healthcare, LLC | Assisted Living Facility | 1251 N Orange Ave, Sarasota, FL 34236 | 2018-05-31 |
| 1053800995 | Susan Grace Swinnerton | Counselor | 1753 Ringling Boulevard, Sarasota, FL 34236 | 2018-05-07 |
| 1457892895 | Smart Living Coaching Services LLC | Psychologist | 1188 N Tamiami Trl Unit 205b, Sarasota, FL 34236 | 2017-03-18 |
| 1427595784 | Lisa Johnson Physical Therapy, Pllc | Physical Therapist | 1451 2nd St, Sarasota, FL 34236 | 2017-01-25 |
| 1003362302 | Jennifer Dawson | Counselor | 1565 State St., Sarasota, FL 34236 | 2016-08-28 |
| 1548662141 | Lanneka White | Nurse Practitioner | 1990 Main Street Suite 750 Unit 738, Sarasota, FL 34236 | 2014-09-25 |
| 1215200878 | Gt Spiritual Enterprises, Inc. | Acupuncturist | 25 South Osprey Avenue, Sarasota, FL 34236 | 2012-02-13 |
| 1225315070 | Michelle Celeste Berhen | Physical Therapist | 1058 N Tamiami Trail 108-280, Sarasota, FL 34236 | 2011-11-08 |
| 1730412701 | My Smile Dentistry | Dentist | 846 South Osprey Avenue, Sarasota, FL 34236 | 2009-09-09 |
| 1134361587 | Kasy Willie Kane | Counselor | 310 South Osprey Avenue, Sarasota, FL 34236 | 2009-04-01 |
| Find all providers in zip 34236 | ||||
| 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 |
|---|---|---|---|---|
| 1659988871 | Caleb Rose | Nurse Practitioner | 1852 Hillview St Ste 301, Sarasota, FL 34239-3638 | 2020-10-01 |
| 1043823214 | Rachelle Ann Kutzko | Nurse Practitioner | 3333 Cattlemen Rd Ste 106, Sarasota, FL 34232-6057 | 2020-08-28 |
| 1003428707 | Derek Jason Sisk | Nurse Practitioner | 3554 65th Avenue Cir E, Sarasota, FL 34243-4116 | 2020-08-24 |
| 1104437128 | Heather Wicklund | Nurse Practitioner | 1626 Brookhouse Dr Unit 234, Sarasota, FL 34231-8982 | 2020-08-13 |
| 1205460540 | Olga Nielsen | Nurse Practitioner | 1857 Oak Branch Dr, Sarasota, FL 34232-6658 | 2020-02-25 |
| 1194284737 | Lori-ann T Luer | Nurse Practitioner | 3245 Old Oak Dr, Sarasota, FL 34239-5020 | 2019-03-13 |
| 1881150555 | Steven Mazar | Nurse Practitioner | 5151 Old Ashwood Dr, Sarasota, FL 34233-3491 | 2019-02-18 |
| 1295204741 | Beth Robin Domino | Nurse Practitioner | 700 Cocoanut Ave Unit 326, Sarasota, FL 34236-5063 | 2018-11-14 |
| 1235634700 | Marathon Health LLC | Nurse Practitioner | 237 Payne Pkwy Unit 101, Sarasota, FL 34237-7018 | 2018-03-27 |
| 1861904567 | Linda Suzanne Martell | Nurse Practitioner | 8383 S. Tamiami Trail, Suite 115, Sarasota, FL 34238-3046 | 2017-11-02 |
| Find all providers in SARASOTA | ||||
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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.