LIDIYA PASTUKH (NPI# 1083011688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083011688 |
| Entity Type | Individual |
| Full Name | LIDIYA PASTUKH |
| Practice Address |
5301 S Congress Ave Atlantis FL 33462-1149 |
| Mailing Address |
5925 Nw Foust Circle Port Saint Lucie FL 34986 |
| Practice Telephone | 5619657300 |
| Mailing Telephone | 9173623916 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN9327163 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5301 S CONGRESS AVE |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767543 | Marcos Agustin Nores | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5301 S Congress Ave, Suite 300, Atlantis, FL 33462-1149 | 2005-08-10 |
| 1861091308 | Herold Jean Francois | Nurse Practitioner | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-10-24 |
| 1942808803 | Collette Danielle Robbins | Registered Nurse | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-10-13 |
| 1528666591 | Alteon Health Florida Hm, LLC | Hospitalist | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-10-13 |
| 1952909061 | Alteon Health Florida, LLC | Emergency Medicine | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-10-12 |
| 1194341545 | Wislande Gilles | Nurse Practitioner | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-06-22 |
| 1346864642 | Kylie Perez | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-06-02 |
| 1801423868 | Can Jones | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-03-26 |
| 1134756190 | Tammy Luan | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-03-26 |
| 1063048999 | Robert Clements | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235661091 | Priscilla Dias | Nurse Anesthetist, Certified Registered | 5301 S. Congress Ave, Jfk Medical Center, Atlantis, FL 33462 | 2017-03-31 |
| 1447699533 | Vanessa Cintron-rodriguez | Nurse Anesthetist, Certified Registered | 5301 South Congress Ave., Atlantis, FL 33462 | 2013-06-21 |
| 1346864642 | Kylie Perez | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-06-02 |
| 1649757477 | Yasherah Anngell Balgobin | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2018-07-24 |
| 1992291595 | Jaclyn Mcdonald | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2018-07-06 |
| 1821583451 | Javad Andrew Lodhi | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2018-06-26 |
| 1629500863 | Stephanie Diane Munson | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2017-03-28 |
| 1952840993 | Megan Roth Wink | Nurse Anesthetist, Certified Registered | 5301 South Congress Avenue, Jfk Medical Center, Atlantis, FL 33462 | 2017-02-22 |
| 1750827861 | Lyndsey Wainwright | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2017-01-12 |
| 1689038234 | Aleatha Hoff | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2016-04-11 |
| Find all providers in ATLANTIS | ||||
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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.