JACQUELINE MARIA NIEBLES M.D NPI 1356339568

NPI Information

NPI: 1356339568
Provider Name: JACQUELINE MARIA NIEBLES, M.D
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
14499 N DALE MABRY HWY
SUITE 180-S
TAMPA, FL
ZIP 33618
Phone: (813) 501-3710
Get Directions

Jacqueline Maria Niebles, M.D is a pediatrics in Tampa, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jacqueline Maria Niebles, M.D NPI is 1356339568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14499 N DALE MABRY HWY
SUITE 180-S
TAMPA, FL
ZIP 33618-078
Phone: (813) 501-3710
Fax: (813) 513-9395

The enumeration date for this NPI number is 10/11/2005 and was last updated on 5/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		ME66997	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26241	OTHER	FLORIDA	BLUE CROSS AND BLUE SHIEL
2	19311	OTHER	FLORIDA	HEALTHEASE
3	212684	OTHER	DELAWARE	AMERIGROUP
4	2238087	OTHER	FLORIDA	AETNA
5	2840575003	OTHER	FLORIDA	CIGNA
6	F91656	MEDICARE UPIN	FLORIDA
7	255357	OTHER	FLORIDA	AVMED
8	19311	OTHER	FLORIDA	WELLCARE
9	376077400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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