ALEXANDRA DOMINIQUE KOELTZOW


Address: 9400 Turkey Lake Rd # Mp453, Orlando, FL 32819-8001
Phone: 3218422655

ALEXANDRA DOMINIQUE KOELTZOW (NPI# 1205498078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205498078
Entity Type Individual
Full Name ALEXANDRA DOMINIQUE KOELTZOW
Credential APRN
Practice Address 9400 Turkey Lake Rd # Mp453
Orlando
FL 32819-8001
Mailing Address 8850 Abbotsbury Dr
Windermere
FL 34786-6708
Practice Telephone 3218422655
Mailing Telephone 4072019163
Enumeration Date 2019-07-02
Last Update Date 2020-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WM0705X Registered Nurse
Specialization: Medical-Surgical
RN9390112 FL Nursing Service Providers
Y 363L00000X Nurse Practitioner 11003194 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7319 Stonerock Cir Ste 106, Orlando, FL 328198002 4072489800
9400 Turkey Lake Rd # Mp453, Orlando, FL 328198001 3218422655

Office Location

Street Address 9400 TURKEY LAKE RD # MP453
City ORLANDO
State FL
Zip Code 32819-8001

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NPI Name Taxonomy Address Enumeration
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1225536303 Alliance Dme LLC Durable Medical Equipment & Medical Supplies 7031 Grand National Dr Ste 106b, Orlando, FL 32819 2018-01-24
1417465584 Marckenson Gerson Janvier Nurse Practitioner 9401 Turkey Lake Rd, Orlando, FL 32819 2018-01-11
1871003442 Sabeen Hasni Pharmacist 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 2017-10-09
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1215483565 Krista Richardson Physical Therapist 9102 Universal Blvd., Orlando, FL 32819 2016-08-28
1841646536 Kiara Serrano Social Worker 7509 Pinemount Dr, Orlando, FL 32819 2016-05-11
1659749752 Angels for Kids On-call Case Management 7550 Future Drive Suite 105, Orlando, FL 32819 2015-09-04
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891395125 Olayemi Olusola Agbaje Nurse Practitioner 5900 Lake Ellenor Dr Ste 150, Orlando, FL 32809-4663 2020-10-27
1871192054 Maria Lena Afxendiou Nurse Practitioner 11058 Grande Pines Cir Apt 821, Orlando, FL 32821-9333 2020-10-20
1396352316 Erin Fahy Nurse Practitioner 2737 Rainbow Springs Ln, Orlando, FL 32828-7783 2020-09-24
1093321457 Sherry Benson Loiselle Nurse Practitioner 19407 Charrice Ct, Orlando, FL 32833-5528 2020-09-21
1861003949 Raul Junior Beltran Nurse Practitioner 1612 E Central Blvd, Orlando, FL 32803-5902 2020-08-12
1780202945 Vivi Nguyen Nurse Practitioner 1700 Sand Lake Rd Ste D112, Orlando, FL 32809-9149 2020-07-13
1902424385 Estel Angelika Hernandez Nurse Practitioner 16039 Old Cheney Hwy, Orlando, FL 32833-2716 2020-07-11
1801414727 Teresa A Kamps Nurse Practitioner 1850 Oak Grove Chase Dr, Orlando, FL 32820-2265 2020-07-07
1073130688 Iris N Bosse Nurse Practitioner 10401 Post Office Blvd W Unit 621212, Orlando, FL 32862-8485 2020-06-30
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Competitor

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City ORLANDO
Zip Code 32819

Improve Information

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Dataset Information

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.

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