MR. CHARLES E NEETZ (NPI# 1215489513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215489513 |
| Entity Type | Individual |
| Full Name | MR. CHARLES E NEETZ |
| Credential | FNP |
| Practice Address |
1070 N Stone St Ste A Deland FL 32720 |
| Mailing Address |
1070 N Stone St Ste A Deland FL 32720-0824 |
| Practice Telephone | 3869437100 |
| Practice Fax Number | 3869438909 |
| Mailing Telephone | 3862313072 |
| Mailing Fax Number | 3862315962 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11001681 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP132452 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 386389601 | 05 | |
| TX | CSHCN | 386389602 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1032 S Ww White Rd, San Antonio, TX 78220 | 2104473033 |
| Street Address |
1070 N STONE ST STE A |
| City | DELAND |
| State | FL |
| Zip Code | 32720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146380 | Karen F Baxley | Physician Assistant | 1070 N Stone St Ste A, Deland, FL 32720-0824 | 2005-07-06 |
| 1083066187 | Sue-ellen Elizabeth Griffith | Family Medicine | 1070 N Stone St Ste A, Deland, FL 32720-0824 | 2016-07-13 |
| 1821489204 | Mary Jane Alcantara Venzon | Nurse Practitioner | 1070 N Stone St Ste A, Deland, FL 32720 | 2015-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| Find all providers in zip 32720 | ||||
| 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 |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699372987 | Courtney Walter | Nurse Practitioner | 1526 Robinwood Dr, Deland, FL 32720-2597 | 2020-10-08 |
| 1710330733 | Ida Jutting Bell | Nurse Practitioner | 242 W Tarrington Dr, Deland, FL 32724-7705 | 2016-07-14 |
| 1790319994 | Coreen Kelly | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-02-26 |
| 1497385991 | Kathrine N Rigney | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-01-23 |
| 1477000412 | Dawn Marie Myers | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2016-09-07 |
| 1538510193 | Katherine Dyer | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2016-06-24 |
| 1659755452 | Melodye Jones | Nurse Practitioner | 929 N Spring Garden Ave Ste 170, Deland, FL 32720-0917 | 2015-07-13 |
| 1821489204 | Mary Jane Alcantara Venzon | Nurse Practitioner | 1070 N Stone St Ste A, Deland, FL 32720 | 2015-02-06 |
| 1316349731 | Toni H Ballesteros | Nurse Practitioner | 1431 Orange Camp Rd, Suite 115, Deland, FL 32724-7768 | 2014-09-17 |
| Find all providers in DELAND | ||||
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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.