KATIE A SPADA (NPI# 1134598238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134598238 |
| Entity Type | Individual |
| Full Name | KATIE A SPADA |
| Other Name | KATIE QUINTAL |
| Credential | APRN |
| Practice Address |
1531 Tamiami Trl S Ste 703 Venice FL 34285-5569 |
| Mailing Address |
11802 Tempest Harbor Loop Venice FL 34292-3821 |
| Practice Telephone | 9416763440 |
| Practice Fax Number | 9313035552 |
| Mailing Telephone | 4014802941 |
| Mailing Fax Number | 9413035552 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9441409 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
6386 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN9441409 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 Lathrop Rd, Plainfield, CT 063742061 | 8602300020 | 8602300021 |
| 300 S Hyde Park Ave Ste 210, Tampa, FL 336064125 | 8132591013 |
| Street Address |
1531 TAMIAMI TRL S STE 703 |
| City | VENICE |
| State | FL |
| Zip Code | 34285-5569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720613862 | Primecare Venice LLC | Nurse Practitioner | 1531 Tamiami Trl S Ste 703, Venice, FL 34285-5569 | 2020-03-09 |
| 1144763046 | Julian Achim | Psychologist | 1531 Tamiami Trl S Ste 703, Venice, FL 34285-5569 | 2016-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558470120 | Madonna Mifsud Pachota | Nurse Practitioner | 333 Tamiami Trl S, Ste 103, Venice, FL 34285-2402 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATIE A SPADA.
| 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.