RADIAH MYRICK (NPI# 1093246027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093246027 |
| Entity Type | Individual |
| Full Name | RADIAH MYRICK |
| Practice Address |
200 78th Ave N Apt 73 St Petersburg FL 33702-4466 |
| Practice Telephone | 7277127661 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | 120806 | FL | Other Service Providers |
| Y | 405300000X | Prevention Professional | 120806 | FL | Other Service Providers |
| Street Address |
200 78TH AVE N APT 73 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33702-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| Find all providers in zip 33702 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093293300 | Doreen Moroney | Prevention Professional | 2221 Harrison St, Titusville, FL 32780-4611 | 2018-07-30 |
| 1386130003 | Harvestreapersintl Chaplain Association | Prevention Professional | 5460 N State Road 7 Ste 122, Ft Lauderdale, FL 33319-2968 | 2018-07-05 |
| 1851807150 | Pink Wildlife LLC | Prevention Professional | 5130 Main St Ste 3, New Port Richey, FL 34652-2105 | 2017-12-21 |
| 1306371794 | Rami Brown | Prevention Professional | 126 White Fawn Dr, Daytona Beach, FL 32114-1459 | 2017-04-24 |
| 1417481698 | Maureen Holdreith Digulimio | Prevention Professional | 13755 Oleander Ave, Juno Beach, FL 33408-1623 | 2017-04-14 |
| 1851832075 | Cyndi Caballero | Prevention Professional | 253 Ne 2nd St Apt 610, Miami, FL 33132-2289 | 2017-03-20 |
| 1164963922 | Greg Perkins | Prevention Professional | 2161 Lake Debra Dr, Suite 1716, Orlando, FL 32835-6378 | 2017-03-13 |
| 1093254716 | Hathor Wellcare Center Inc | Prevention Professional | 14269 Sw 42nd St, Miami, FL 33175-6408 | 2017-02-14 |
| 1316486111 | Samuel Castillo | Prevention Professional | 7323 Sw 134th Pl, Miami, FL 33183-3241 | 2017-02-14 |
| 1356888366 | Acucentral LLC | Prevention Professional | 8180 Nw 36th St Ste 304, Doral, FL 33166-6660 | 2017-01-28 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33702 |
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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.