ALAN C EDDISON (NPI# 1134560352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134560352 |
Entity Type | Individual |
Full Name | ALAN C EDDISON |
Credential | ARNP |
Practice Address |
3044 Se Orange Tree Pl Stuart FL 34997-8518 |
Practice Telephone | 5616320149 |
Mailing Telephone | 5616320149 |
Enumeration Date | 2013-07-16 |
Last Update Date | 2013-07-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9178001 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3044 SE ORANGE TREE PL |
City | STUART |
State | FL |
Zip Code | 34997-8518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
Find all providers in zip 34997 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659925337 | Jacqueline Gajewski Smith | Nurse Practitioner | 130 Se Crestwood Cir, Stuart, FL 34997-7438 | 2019-07-30 |
1699161562 | Deniese Williams LLC | Nurse Practitioner | 6526 S Kanner Hwy, Unit 221, Stuart, FL 34997-6396 | 2015-04-08 |
1104143965 | Steven John Sanderson | Nurse Practitioner | 5124 Se Graham Dr, Stuart, FL 34997-1547 | 2010-05-03 |
1427202662 | Sara Pratt | Nurse Practitioner | 1371 Se Conference Cir, Stuart, FL 34997-7639 | 2008-11-14 |
1215956107 | Carmen Luisa Escobar | Nurse Practitioner | 2440 Se Federal Hwy, Stuart, FL 34994-4500 | 2006-07-19 |
1053372045 | Elizabeth Clemow-tilley | Nurse Practitioner | 1713 Nw Federal Hwy, Stuart, FL 34994-9631 | 2006-03-29 |
1427032028 | Glory Ivelisse Guerrero | Nurse Practitioner | 1322 Nw Federal Hwy, Stuart, FL 34994-1004 | 2005-12-06 |
1962498667 | Carol A Jarzyn | Nurse Practitioner | 417 Se Balboa Ave, Stuart, FL 34994-2327 | 2005-09-27 |
1639603830 | Francesca Panko | Nurse Practitioner | 2221 Se Ocean Blvd, Suite 100, Stuart, FL 34996-3341 | 2017-04-13 |
1144776790 | Leah Elizabeth Acker | Nurse Practitioner | 2221 Se Ocean Blvd, Stuart, FL 34996 | 2016-09-01 |
Find all providers in STUART |
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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.