CELESTE MARIA SHIVAK (NPI# 1013980762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013980762 |
| Entity Type | Individual |
| Full Name | CELESTE MARIA SHIVAK |
| Credential | RN |
| Practice Address |
3241 Lakeland Hills Blvd Lakeland FL 33805-2266 |
| Mailing Address |
1290 Golfview Ave Billing Department Bartow FL 33830-6738 |
| Practice Telephone | 8634132620 |
| Mailing Telephone | 8635197900 |
| Mailing Fax Number | 8635197696 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN898982 | FL | Nursing Service Providers |
| Street Address |
3241 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732541 | Florida Department of Health | Public Health or Welfare | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2005-10-03 |
| 1215373352 | Anjana J Patel | Pharmacist | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2013-05-16 |
| 1700166691 | Joy Lynn Jackson | Internal Medicine | 3241 Lakeland Hills Blvd, Lakeland, FL 33805 | 2011-08-23 |
| 1568767028 | Rosalind M Tyre | Social Worker | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2011-01-14 |
| 1114199510 | Peggy Lee Owen | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2008-03-26 |
| 1720266125 | Isabel A Clayton | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2008-02-07 |
| 1124119631 | Alison M Youngtan | Internal Medicine | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-09-28 |
| 1982719514 | Robert D. Bazley | Obstetrics & Gynecology | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-08-21 |
| 1447225974 | Jill A Hoagland | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-02-20 |
| 1417921404 | Chung-ho Chen | Dentist | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019487 | Christine H Christensen | Registered Nurse | 5054 Hanover Ln, Lakeland, FL 33813-2816 | 2020-10-08 |
| 1558335513 | Stephanie Rozell Davis | Registered Nurse | 703 Candyce Ave, Lakeland, FL 33815-1203 | 2006-02-15 |
| 1114199510 | Peggy Lee Owen | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2008-03-26 |
| 1720266125 | Isabel A Clayton | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2008-02-07 |
| 1447225974 | Jill A Hoagland | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-02-20 |
| 1942274469 | Elizabeth A Myers | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-02-13 |
| 1669445417 | Rebecca G Parish | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-02-10 |
| 1285607937 | Roberta W Parker | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518595941 | Maya Kaczmarska | Registered Nurse | 3761 Victoria Dr, West Palm Beach, FL 33406-4708 | 2020-03-31 |
| 1548898299 | Hollie Michelle Macmullan | Registered Nurse | 7728 West Dr, Wesley Chapel, FL 33544-2716 | 2020-03-30 |
| 1790313294 | Joshua Gene Yardley | Registered Nurse | 5650 Breckenridge Park Dr Ste 108, Tampa, FL 33610-4232 | 2020-03-30 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1235767039 | Zachary Beko | Registered Nurse | 3210 Se Otis Ln, Port St Lucie, FL 34984-6503 | 2020-03-29 |
| 1811536071 | Karen Ruth Tice | Registered Nurse | 20402 Peabody St, Orlando, FL 32833-4709 | 2020-01-04 |
| 1376185256 | Yudelsy Sanchez Morell | Registered Nurse | 8180 Mandarin Blvd, Loxahatchee, FL 33470-2950 | 2019-10-12 |
| 1992186258 | Kimberly Baumann | Registered Nurse | 336 Redwing Way, Casselberry, FL 32707-4007 | 2015-06-12 |
| 1598176133 | Hollie Debra Moffett | Registered Nurse | 11327 Okeechobee Blvd Ste 2&3, Royal Palm Beach, FL 33411-8724 | 2014-05-16 |
| 1619248986 | Stephanie Ann Kornetti | Registered Nurse | 3400 Overseas Hwy, Marathon, FL 33050-2342 | 2012-01-19 |
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| 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.