DOREEN OPAL LUE (NPI# 1154988210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154988210 |
| Entity Type | Individual |
| Full Name | DOREEN OPAL LUE |
| Practice Address |
6855 Ashbury Dr Lakeland FL 33809-7818 |
| Practice Telephone | 8638586347 |
| Mailing Telephone | 8638586347 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 11001303 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6855 ASHBURY DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33809-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018178 | John C Gallik | Military Health Care Provider | 3176 Corporal Johnson Road, Jbsa Fort Sam Houston, TX 33809 | 2020-06-23 |
| 1376189209 | Julie Independence Tomchak | Nurse's Aide | 7805 Us Highway Lot 29 # 98 N, Lakeland, FL 33809 | 2019-11-26 |
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1235528753 | Christia Mccann | Physician Assistant | 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 | 2015-01-21 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1164769980 | Christopher Fisher | Hearing Instrument Specialist | 3800 North Rd 98, Ste 500, Lakeland, FL 33809 | 2013-01-14 |
| 1023374063 | Eagle Lake Pharmacy Inc | Pharmacy | 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 | 2012-04-04 |
| 1851669675 | Reginald Keith Jenkins | Pharmacist | 1043 Walt Williams Road, Lakeland, FL 33809 | 2011-12-07 |
| 1578859633 | Jill Margaret Waldrop | Pharmacist | 6600 N. Socrum Loop, Lakeland, FL 33809 | 2011-06-27 |
| Find all providers in zip 33809 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686845 | Robert Salzman | Nurse Practitioner | 1328 Jaffa St, Lakeland, FL 33801-5706 | 2020-07-14 |
| 1578180493 | Kristen Kay Crumpton | Nurse Practitioner | 615 Midflorida Dr Ste 1, Lakeland, FL 33813-4921 | 2020-06-26 |
| 1053958694 | Cathy Lorraine Molina | Nurse Practitioner | 6063 Sunset Vista Dr, Lakeland, FL 33812-4441 | 2019-12-02 |
| 1003452418 | Cheza Marie Wilkinson | Nurse Practitioner | 2849 Jennifer Dr, Lakeland, FL 33810-5107 | 2019-11-20 |
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1962068155 | Lindsey Silas Escobar | Nurse Practitioner | 1490 Town Center Dr, Lakeland, FL 33803-7965 | 2019-05-14 |
| 1134695547 | Misti Dawn Thomas | Nurse Practitioner | 1737 Sherwood Lakes Blvd, Lakeland, FL 33809-6809 | 2018-10-23 |
| 1891260725 | Benito Angelo Rodriguez | Nurse Practitioner | 2417 Us Highway 98 N # 512, Lakeland, FL 33805-2410 | 2018-10-08 |
| 1255833513 | Justin Ross Hooper | Nurse Practitioner | 1285 Vista Hills Dr, Lakeland, FL 33813-5642 | 2018-03-02 |
| 1780191874 | Laurie Anne Neher | Nurse Practitioner | 1490 Town Center Dr Ste N116, Lakeland, FL 33803-7965 | 2018-01-10 |
| Find all providers in LAKELAND | ||||
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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.