CRYSTAL DANAE VAN DETTE (NPI# 1215353073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215353073 |
| Entity Type | Individual |
| Full Name | CRYSTAL DANAE VAN DETTE |
| Credential | ARNP |
| Practice Address |
2919w Swann Ave 102 Tampa FL 33609-4049 |
| Practice Telephone | 8138703971 |
| Mailing Telephone | 8138703971 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP 9268840 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2919W SWANN AVE 102 |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1912510926 | Oneeka Green | Nurse Practitioner | 8947 Turnstone Haven Pl, Tampa, FL 33619-0826 | 2020-08-28 |
| 1578193520 | Quankela Tillman | Nurse Practitioner | 2604 Lindell Ave, Tampa, FL 33610-7757 | 2020-01-17 |
| 1891272076 | Jehad Saleh | Nurse Practitioner | 317 E Hanlon St, Tampa, FL 33604-4130 | 2018-07-20 |
| 1003332313 | Gail Deanne Roth | Nurse Practitioner | 4604 Brownwood Ct, Tampa, FL 33624-1118 | 2017-08-17 |
| 1538697511 | Heather Hughes | Nurse Practitioner | 912 Channelside Dr Ste 2102, Tampa, FL 33602-4227 | 2017-06-02 |
| 1912056169 | Wendy Heather Hull | Nurse Practitioner | 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609 | 2007-01-09 |
| 1467482380 | Ags Healthcare Specialists Inc | Nurse Practitioner | 14902 Winding Creek Ct, Ste 105-c, Tampa, FL 33613-1640 | 2006-07-04 |
| 1023001633 | Linda K Beagle | Nurse Practitioner | 300 S Hyde Park Ave, Ste 210, Tampa, FL 33606-4125 | 2005-08-30 |
| 1033767587 | Kristen Lee Matulis | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2019-08-28 |
| Find all providers in TAMPA | ||||
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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.