Jackeline Nunez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN487 Issued in FL

Practice address

5425 Park St N Ste 7W
St Petersburg, FL 33709-7042

Phone

(727) 202-8140

NPI assigned

Feb 23, 2007

Last updated

May 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD
• FHIR API: https://fhir4.healow.com/fhir/r4/FDCBCD
• FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD

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

• Best Value Healthcare LLC

  dba MaxHealth

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015
  Medicare reassignment NPD
• Florida Medical Associates LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Lady Lake, FL
  • NPI 1336153709
  Medicare reassignment NPD
• Forest Hill Medical Group LLC

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1205401429
  Medicare reassignment NPD
• Guidewell Sanitas I, LLC

  dba Clinisanitas

  • Family Medicine Physician
  • Doral, FL
  • NPI 1396124046
  Medicare reassignment NPD
• Hernando Pasco Primary Care LLC

  dba MyCare Medical

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1245273093

  Family Medicine

  NPD
• P3 Health Partners-Florida LLC

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1922643261
  NPD
• Karen Montas-Rojas, OD, PA

  dba MR Vision Center

  • Optometrist
  • West Palm Beach, FL
  • NPI 1164740148
  NPD (past)
• Medical Home Alliance LLC

  dba IMA Winter Haven Dispensary

  • Non-Pharmacy Dispensing Site
  • Winter Haven, FL
  • NPI 1033648233
  NPD (past)
• PCC Medical Holdings LLC

  • Internal Medicine Physician
  • Lake Worth, FL
  • NPI 1174167993
  NPD (past)
• Vida Medical Clinic LLC

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1356967475
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1912032558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 PARK ST N STE 7W",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337097042",
            "telephone_number": "727-202-8140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1277 N Semoran Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328073573",
            "country_code": "US",
            "telephone_number": "407-458-1845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 SW Saint Lucie West Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349861766",
            "country_code": "US",
            "telephone_number": "772-249-1501",
            "fax_number": "844-388-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "JACKELINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN487",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ACN487",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ACN487",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010963800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "ACN487",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nu Day Therapy, LLC
• Nucourage Counseling, LLC
• Kaydianne Nugent-Jackson
• Numinous Health
• Claudia Cunha Nunes, MD
• Margarita Nunez, M.D.
• Miranda Nunez, ARNP
• Monica Beverly Nur
• Nurse Practitioners of Pinellas, LLC.
• Nursecore Management Services LLC (Nursecore of St Petersburg)

• General Practice Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.