DENA ASHWORTH (NPI# 1114372018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114372018 |
Entity Type | Individual |
Full Name | DENA ASHWORTH |
Practice Address |
4024 Central Ave St Petersburg FL 33711-1239 |
Mailing Address |
Po Box 10970 St Petersburg FL 33733-0970 |
Practice Telephone | 7273277656 |
Practice Fax Number | 7273222110 |
Mailing Telephone | 7273277656 |
Mailing Fax Number | 7273222110 |
Enumeration Date | 2016-04-28 |
Last Update Date | 2016-04-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
4024 CENTRAL AVE |
City | ST PETERSBURG |
State | FL |
Zip Code | 33711-1239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659371763 | Suncoast Center, Inc. | Clinic/Center | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2005-07-29 |
1790384709 | Tracy Reenae Hardaway | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-10-21 |
1154928877 | Tyler Ray-baker | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-10-06 |
1720694565 | Meghan Reese | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-09-17 |
1720691595 | Georgette Franklin | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
1518570381 | Stephanie Ganoe | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
1679181655 | April Irwin | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-07-16 |
1497373757 | Mishania Jenkins | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-07-13 |
1154945632 | Kenneth Westerfield | Behavioral Analyst | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-06-01 |
1235753674 | Kathryn Ann Pinkston | Registered Nurse | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
Find all providers in zip 33711 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477928075 | Anthony Hunter | Peer Specialist | 3800 Central Ave, St Petersburg, FL 33711-1237 | 2015-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164053302 | Shango Husani | Peer Specialist | 2719 Hollywood Blvd Ste B208, Hollywood, FL 33020-4821 | 2020-01-27 |
1427698638 | Fire Forged Recovery, Inc | Peer Specialist | 2428 Nw 56th Ave, Lauderhill, FL 33313-3012 | 2020-01-15 |
1316584675 | Gainesville Peer Respite, Inc. | Peer Specialist | 728 E. University Avenue, Gainesville, FL 32601 | 2019-12-05 |
1639712078 | Josly Quintero | Peer Specialist | 99198 Overseas Hwy Ste 34&5, Key Largo, FL 33037-2437 | 2019-10-17 |
1275185993 | Ivanna Rebecca Pengelley | Peer Specialist | 2110 S Gadsden St, Tallahassee, FL 32301-5513 | 2019-07-12 |
1386128205 | Theresa E Henderson | Peer Specialist | 2257 Sandy Ct, Orange Park, FL 32073-5235 | 2018-09-17 |
1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
1861900763 | Billing Tech Solutions Corp | Peer Specialist | 10201 Falcon Pine Blvd Apt 208, Orlando, FL 32829-7368 | 2018-01-14 |
1184133407 | Cindy Witt | Peer Specialist | 804 3rd St Ste Ab, Neptune Beach, FL 32266-5040 | 2017-09-29 |
1649796574 | Robbie Nelson | Peer Specialist | 1817 Se 13th Pl, Gainesville, FL 32641-8395 | 2017-08-22 |
Find all providers with the same taxonomy |
City | ST PETERSBURG |
Zip Code | 33711 |
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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.