Jasmine Nicole Poole, MS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2202 Mandarin Loop
Dundee, FL 33838-4387

Phone

(833) 869-2423

Fax

(863) 869-6727

NPI assigned

Sep 9, 2019

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1821647157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 JETT LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378645",
            "telephone_number": "813-900-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 MANDARIN LOOP",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "338384387",
            "telephone_number": "833-869-2423",
            "fax_number": "863-869-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JASMINE",
        "middle_name": "NICOLE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BEHAVIOR TECHNICIAN",
            "identifier": "RBT-19-98037",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104157700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie W Odom, DMD
• Chinwe Ohanu, MD
• Yosmy Michelle Paredes-Pinerez
• Rasiel Perez Castillo
• Lisa Marie Perkins, FNP-BC
• Primary Care of Dundee
• Rasielpc Therapy Services LLC
• Michael John Rivera
• Graham Robinson-Farah, M.D.
• Doris N Santiago, REGISTERED NURSE

• Behavior Technician in Dundee, FL
• Providers in Dundee, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.