NATASHA L FENELON (NPI# 1003426883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003426883 |
| Entity Type | Individual |
| Full Name | NATASHA L FENELON |
| Credential | APRN |
| Practice Address |
2065 Whispering Trails Blvd Winter Haven FL 33884-1838 |
| Practice Telephone | 5613717911 |
| Mailing Telephone | 5613717911 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11008419 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2065 WHISPERING TRAILS BLVD |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33884-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
| 1871990143 | William Santo | Specialist/Technologist | 9269 Kliber Dr., Winter Haven, FL 33884 | 2014-12-02 |
| 1346656345 | Integrative Physical Medicine of Winter Haven LLC | Specialist | 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2014-07-10 |
| 1568808921 | Donald Lurton Arey Jr. | Surgery | 800 Island Way, Winter Haven, FL 33884 | 2013-05-13 |
| 1407195324 | Shena R. Ranon | Nurse Practitioner | 1820 Woodpointe Dr, Winter Haven, FL 33884 | 2013-02-13 |
| 1952654543 | Mpn Medical Center of Dundee | Family Medicine | 1023 Dundee Road, Winter Haven, FL 33884 | 2012-10-19 |
| 1588941736 | Cody Gernatt | Occupational Therapist | 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 | 2011-11-15 |
| 1851611677 | Paulene T Jasurek | Pharmacist | 4454 Cypress Gardens Rd, Winter Haven, FL 33884 | 2010-06-03 |
| 1306169867 | John David Butters | Speech-Language Pathologist | 208 Escambia Dr., Winter Haven, FL 33884 | 2010-03-11 |
| 1710162813 | Humphrey Chiropractic Center, P.a. | Chiropractor | 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 | 2008-01-08 |
| Find all providers in zip 33884 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564699 | Family Holistic Wellness LLC | Nurse Practitioner | 543 Avenue K Se, Winter Haven, FL 33880-4215 | 2020-10-02 |
| 1659998102 | Amanda Anne Waters | Nurse Practitioner | 1209 Cypress Pt E, Winter Haven, FL 33884-3027 | 2020-07-01 |
| 1891259925 | Nacresha Nicole Richardson | Nurse Practitioner | 823 Terranova Rd, Winter Haven, FL 33884-3441 | 2019-01-23 |
| 1245701093 | Neena Jinoy | Nurse Practitioner | 400 Avenue K Se Ste 5, Winter Haven, FL 33880-4123 | 2018-12-05 |
| 1154899383 | Iris Bosede Olasoji | Nurse Practitioner | 5753 Royal Hills Cir, Winter Haven, FL 33881-8794 | 2018-11-06 |
| 1407321300 | Carey Coco | Nurse Practitioner | 635 First Street, North, Winter Haven, FL 33881-4129 | 2018-10-06 |
| 1669956991 | Malinda Wood | Nurse Practitioner | 2647 21st St Nw, Winter Haven, FL 33881-1250 | 2018-09-22 |
| 1215415534 | Meri Melodie Mitchell | Nurse Practitioner | 664 Lake Dexter Cir, Winter Haven, FL 33884-2214 | 2018-07-30 |
| 1164944203 | Lindsay Hamid | Nurse Practitioner | 550 Pope Ave Nw Unit 200, Winter Haven, FL 33881-4679 | 2017-07-11 |
| 1073058053 | Brian Gardiner Harte | Nurse Practitioner | 45 Lake Elbert Dr Se, Winter Haven, FL 33880-3058 | 2016-12-29 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33884 |
Please comment or provide details below to improve the information on NATASHA L FENELON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.