LYDIA PHAN (NPI# 1023511151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023511151 |
| Entity Type | Individual |
| Full Name | LYDIA PHAN |
| Credential | ARNP |
| Practice Address |
3500 E Fletcher Ave Ste 129 Tampa FL 33613-4709 |
| Mailing Address |
19558 Timberbluff Dr Land O Lakes FL 34638-2588 |
| Practice Telephone | 8137519727 |
| Mailing Telephone | 7723336108 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP9312946 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | 9312946 | 01 |
| Street Address |
3500 E FLETCHER AVE STE 129 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299687 | Katherine Langlais | Nurse Practitioner | 5110 S Manhattan Ave Unit 4302, Tampa, FL 33611-3454 | 2020-06-15 |
| 1881221760 | Sarah Kossiver | Nurse Practitioner | 1 Tampa General Cir # A, Tampa, FL 33606-3571 | 2020-03-23 |
| 1548808207 | Jamie Mooney | Nurse Practitioner | 1 Tampa General Cir Ste D346, Tampa, FL 33606-3571 | 2019-12-12 |
| 1114571411 | Sonya Hater | Nurse Practitioner | 208 S Bungalow Park Ave, Tampa, FL 33609-3113 | 2019-07-25 |
| 1871080788 | Aabedah Taher | Nurse Practitioner | 18146 Canal Pointe St, Tampa, FL 33647 | 2018-04-16 |
| 1578846481 | Susan L Bateman | Nurse Practitioner | 1 Tampa General Cir # G417, Tampa, FL 33606-3571 | 2011-09-27 |
| 1003079906 | Bridget Shoulders-odom | Nurse Practitioner | 13000 Bruce B Downs Bld, Tampa, FL 33612 | 2008-07-10 |
| 1649367145 | Wendy Denise Larkin | Nurse Practitioner | 13000 Bruce B. Downs, Tampa, FL 33612 | 2006-10-06 |
| 1134735285 | Edith Abraham | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-23 |
| 1821607409 | Ashleigh Brooke Mader | Nurse Practitioner | 4444 E Fletcher Ave Ste C, Tampa, FL 33613-4905 | 2020-07-29 |
| Find all providers in TAMPA | ||||
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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.