GERALDINE S PALLIJA (NPI# 1083680516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083680516 |
| Entity Type | Individual |
| Full Name | GERALDINE S PALLIJA |
| Credential | ARNP |
| Practice Address |
1859 Sw Newland Way Lake City FL 32025-6966 |
| Practice Telephone | 3867580003 |
| Practice Fax Number | 3867557940 |
| Mailing Telephone | 3867580003 |
| Mailing Fax Number | 3867557940 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2011-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
9262876 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1859 SW NEWLAND WAY |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-6966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465896 | Frederick Thomas Weber | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2005-05-31 |
| 1639711237 | Brittany Lynn Bailey | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-10-15 |
| 1003457623 | Cheryl Renae Abersold | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-10-04 |
| 1467910109 | Kimberlei M Faller | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-03-12 |
| 1437636370 | Leslee Stafford | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2018-07-24 |
| 1336691658 | Sabrina Green | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2016-11-03 |
| 1013466697 | Tasha Ellsberry | Registered Nurse | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2016-09-24 |
| 1053869545 | Tyler Chase | Physician Assistant | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2016-09-14 |
| 1801279179 | Megan Tenney | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2015-07-06 |
| 1639557069 | Jennifer Nguyen Simpson | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710966346 | Jessica Shotwell | Nurse Practitioner | 4196 W Us Highway 90 Ste 105, Lake City, FL 32055-8834 | 2006-01-12 |
| 1639736580 | Jamilyn Vaughn Jordan | Nurse Practitioner | 1140 Sw Bascom Norris Dr Ste 104, Lake City, FL 32025-1329 | 2019-05-28 |
| 1912462466 | April Lawson | Nurse Practitioner | 4196 W Us Highway 90 Ste 105, Lake City, FL 32055-8834 | 2019-02-08 |
| 1053829549 | Samantha Lawrence | Nurse Practitioner | 1140 Sw Bascom Norris Dr Ste 104, Lake City, FL 32025-1329 | 2018-01-18 |
| 1801279179 | Megan Tenney | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2015-07-06 |
| 1386917524 | Casey Marie Perry | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2012-02-20 |
| 1720362429 | Grace Pediatrics Pl | Nurse Practitioner | 4196 W Us Highway 90, Suite 105, Lake City, FL 32055-8834 | 2011-09-29 |
| 1952430670 | Megan Fultz Smith | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
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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.