Jennifer Rose Phelps, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-06-2883 Issued in FL

Practice address

5100 1St Ave N
St Petersburg, FL 33710-8102

Phone

(727) 201-2389

NPI assigned

Sep 15, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nest Life, LLC

  • Behavior Analyst
  • St Petersburg, FL
  • NPI 1295371896
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1659520526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N REO ST",
            "address_2": "UNIT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091061",
            "telephone_number": "813-374-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108102",
            "telephone_number": "727-201-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N Reo St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091061",
            "country_code": "US",
            "telephone_number": "813-374-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Union Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281831",
            "country_code": "US",
            "telephone_number": "727-201-2389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6507 Gunn Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254021",
            "country_code": "US",
            "telephone_number": "813-374-2070 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-06-2883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharma Management Company,LLC
• Pharmalabs LLC
• Pharmland
• Pharmland, LLC
• Jane Phelan, APRN
• Claudia Phen
• Bernard Philippe, M.D.
• Jason D Philippe, MD
• Justin Phillip
• Catherine Ann Phillips, M.D.

• Behavior Analyst in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.