MS. MELISSA DEVINCENTIS (NPI# 1154967115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154967115 |
| Entity Type | Individual |
| Full Name | MS. MELISSA DEVINCENTIS |
| Practice Address |
3801 S Kanner Hwy Stuart FL 34994-4801 |
| Mailing Address |
2101 Ne 56th Ct Fort Lauderdale FL 33308-2502 |
| Practice Telephone | 7722212003 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Se Salerno Rd, Stuart, FL 349976503 | 7722232300 | |
| 10080 Sw Innovation Way Ste 201, Port Saint Lucie, FL 349872129 | 7723443811 | |
| 200 Se Hospital Ave, Stuart, FL 349942346 | 7722875200 | |
| 10000 Sw Innovation Way, Port Saint Lucie, FL 349872111 | 7723458100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740505734 | Melissa Lynne Devincentis | Marriage & Family Therapist | 147 W Gray St, Suite 217a, Elmira, NY 14901-3017 | 2010-04-01 |
| Street Address |
3801 S KANNER HWY |
| City | STUART |
| State | FL |
| Zip Code | 34994-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932171204 | Evelio E Sardina | Internal Medicine | 3801 S Kanner Hwy, Stuart, FL 34994-4801 | 2006-02-02 |
| 1114459807 | Meray Ohanessian | Family Medicine | 3801 S Kanner Hwy, Stuart, FL 34994-4801 | 2017-03-31 |
| 1144249913 | Daniel Scott Edelman | Internal Medicine | 3801 S Kanner Hwy, Ste 300, Stuart, FL 34994-4801 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346349958 | Housecalls Express Inc | Physician Assistant | 1241 Se Indian St, Suite 112, Stuart, FL 34997-5675 | 2006-09-21 |
| 1942308556 | Saduman Ozturk | Physician Assistant | 2440 S Federal Highway, Suite 400a, Stuart, FL 34994 | 2006-09-20 |
| 1144259979 | Linda L Aufdenspring | Physician Assistant | 433 Se Ocean Blvd, Stuart, FL 34994-2573 | 2006-07-02 |
| 1922052539 | Jan K Stottlemyer | Physician Assistant | 2440 S Federal Hwy, Suite 400a, Stuart, FL 34994-4500 | 2006-05-19 |
| 1598130098 | Coastal Detox, Inc | Physician Assistant | 1131 Se Indian St, Stuart, FL 34997-5688 | 2015-12-09 |
| 1578955118 | Elizabeth Choby | Physician Assistant | 501 Se Osceola St, #301, Stuart, FL 34994-2301 | 2015-02-18 |
| 1841632304 | Mary Elizabeth Callahan | Physician Assistant | 509 Se Riverside Dr, Ste 300, Stuart, FL 34994-2579 | 2013-07-25 |
| 1447699491 | Olympia Thalassites Morris | Physician Assistant | 506 Southwest Federal Highway, Suite 101, Stuart, FL 34994 | 2013-06-21 |
| 1144520925 | Amanda Kristen Gersch | Physician Assistant | 1050 Se Monterey Rd, Suite 101, Stuart, FL 34994-4512 | 2010-10-27 |
| 1780993527 | Hillary Sheitelman | Physician Assistant | 433 Se Ocean Blvd, Stuart, FL 34994-2573 | 2010-09-28 |
| 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.