POETCHANAPORN BUNDIT TONGDEE (NPI# 1093148728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093148728 |
| Entity Type | Individual |
| Full Name | POETCHANAPORN BUNDIT TONGDEE |
| Credential | ARNP |
| Practice Address |
1106 Druid Rd S Suite 201 Clearwater FL 33756-3846 |
| Mailing Address |
65 Irwin St W Safety Harbor FL 34695-2240 |
| Practice Telephone | 7275846266 |
| Mailing Telephone | 7277982927 |
| Mailing Fax Number | 7277982927 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2016-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP1478712 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP1478712 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 609593 | 05 |
| Street Address |
1106 DRUID RD S SUITE 201 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633917 | Allan Hull Haydon | Specialist | 1106 Druid Rd S, Suite 301, Clearwater, FL 33756-3846 | 2005-07-15 |
| 1538593066 | Jenner Dean | Social Worker | 1106 Druid Rd S, Clearwater, FL 33756-3846 | 2013-09-03 |
| 1144652405 | Tara Marie Stewart | Counselor | 1106 Druid Rd S, #201, Clearwater, FL 33756-3846 | 2013-08-08 |
| 1811236540 | Behavioral Health Management Svcs, Inc. | Case Management | 1106 Druid Rd S, Clearwater, FL 33756-3846 | 2013-01-31 |
| 1174867378 | Wenge Lu | Internal Medicine | 1106 Druid Rd S, Suite 101, Clearwater, FL 33756-3800 | 2012-11-12 |
| 1013280320 | Carolyn Ann Johnson | Social Worker | 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 | 2012-02-16 |
| 1164727228 | Yvette M Dixon | Counselor | 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 | 2011-01-21 |
| 1376787614 | Clearwater Surgical Associates, Pllc | Physician Assistant | 1106 Druid Rd S, Ste 301, Clearwater, FL 33756-3846 | 2009-04-30 |
| 1548407414 | Emily Elizabeth Bell | Registered Nurse | 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 | 2009-01-14 |
| 1992993489 | Jeanne Denise Mulvihill | Nurse Practitioner | 1106 Druid Rd S, Suite 302, Clearwater, FL 33756-3846 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518311653 | Svg Mental Health Solutions Pllc | Nurse Practitioner | 806 Harbor Is, Clearwater, FL 33767-1806 | 2016-04-14 |
| 1477563419 | Amy Ballou | Nurse Practitioner | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2006-08-09 |
| 1134761802 | Cynthia Vance Morris | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-10-14 |
| 1609426378 | Maurice Foster | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-09-16 |
| 1144880980 | Cassandra Beck | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-06-14 |
| 1336614114 | Naoko Hurvitz | Nurse Practitioner | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2018-10-09 |
| 1255819900 | Joshua Drew Barnes | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2018-08-04 |
| 1326547985 | Gwendolyn Newton | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2018-02-08 |
| 1962925446 | Stephanie Stuart | Nurse Practitioner | 14400 49th St N, Clearwater, FL 33762-2890 | 2017-07-17 |
| 1407204704 | Jacqulyn Yackel | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2016-05-26 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on POETCHANAPORN BUNDIT TONGDEE.
| 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.