DR. JENNINE MARIE CABANELLAS MD NPI 1003004540
Ophthalmology in Wellington, FL
About JENNINE CABANELLAS
Jennine Cabanellas is a provider established in Wellington, Florida and her medical specialization is ophthalmology with more than 27 years of experience. She graduated from Washington University School Of Medicine in 1995. The NPI number of Jennine Cabanellas is 1003004540 and was assigned on October 2007. The practitioner's primary taxonomy code is 207W00000X with license number ME83781 (FL). The provider is registered as an individual and her NPI record was last updated May 2021.
Jennine Cabanellas is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Jennine Cabanellas is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
| NPI | 1003004540 |
| Provider Name | DR. JENNINE MARIE CABANELLAS MD |
| Provider Location Address | 13421 S SHORE BLVD STE 203 WELLINGTON, FL 33414 |
| Provider Mailing Address | 13421 S SHORE BLVD STE 203 WELLINGTON, FL 33414 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 10-10-2007 |
| Last Update Date | 05-24-2021 |
Primary Taxonomy
| Taxonomy Code | 207W00000X |
| Classification | Ophthalmology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | ME83781 |
| License State | FL |
| Taxonomy Description | An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Business Address
DR. JENNINE MARIE CABANELLAS MD
13421 S SHORE BLVD STE 203
WELLINGTON, FL
ZIP 33414
Phone: (561) 333-3440
Mailing Address
DR. JENNINE MARIE CABANELLAS MD
13421 S SHORE BLVD STE 203
WELLINGTON, FL
ZIP 33414
Phone: (561) 333-3440
Medicare Participation
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | ME83781 | FL | No | |
Taxonomy Description: an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 267983300 | MEDICAID (05) | FL |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.