MONETTE AUDATH (NPI# 1255787370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255787370 |
| Entity Type | Individual |
| Full Name | MONETTE AUDATH |
| Practice Address |
21297 Olean Blvd Ste A Port Charlotte FL 33952-6704 |
| Mailing Address |
2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 |
| Practice Telephone | 8559795700 |
| Practice Fax Number | 2399313458 |
| Mailing Telephone | 8778563774 |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9214849 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017897700 | 05 |
| Street Address |
21297 OLEAN BLVD STE A |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012978 | Curtis E Dedrick | Internal Medicine | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2005-06-09 |
| 1497398606 | Bernadette Serafini | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2019-10-21 |
| 1336703974 | Meghan Nicole Jackson | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2019-04-29 |
| 1689160913 | Glodene Simone Roberts | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2018-07-10 |
| 1417457425 | Nicholas John Newbold Jr. | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2018-02-16 |
| 1245771815 | Pouria Haghighi Tajvar | Internal Medicine | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2017-03-16 |
| 1639520083 | Gabrielly Meurer Coatti | Internal Medicine | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2016-06-27 |
| 1609230119 | Victor Manuel Pena | Family Medicine | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2016-04-11 |
| 1295196863 | James Ramirez | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2016-03-10 |
| 1952771347 | Denise Nicole Dampier | Physician Assistant | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2015-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716550 | Linda S Bittner | Nurse Practitioner | 104 Free Ct Se, Port Charlotte, FL 33952-9724 | 2020-10-07 |
| 1700420601 | Elena Renee Hale | Nurse Practitioner | 693 Hartford Dr Nw, Port Charlotte, FL 33952-6440 | 2019-11-04 |
| 1942852918 | Josie Hoyt | Nurse Practitioner | 2240 Lion Ter, Port Charlotte, FL 33952-3817 | 2019-07-10 |
| 1063078145 | Amber O'connor | Nurse Practitioner | 21104 Delake Ave, Port Charlotte, FL 33954-3020 | 2019-05-14 |
| 1881166536 | Elizabeth O'hagan | Nurse Practitioner | 66 Wylam Dr, Port Charlotte, FL 33954-2352 | 2018-12-19 |
| 1649741612 | Estefania Perez | Nurse Practitioner | 3280 Tamiami Trl # 55a-294, Port Charlotte, FL 33952-8053 | 2018-12-17 |
| 1467922922 | Deanna Marie Cole | Nurse Practitioner | 21297 Olean Blvd Ste B, Port Charlotte, FL 33952-6704 | 2018-11-27 |
| 1598231185 | Chris Eric Potter | Nurse Practitioner | 1777 Tamiami Trl Ste Office11, Port Charlotte, FL 33948-1078 | 2018-10-22 |
| 1497295604 | Marathon Health LLC | Nurse Practitioner | 18150 Murdock Cir Bldg G, C/o Charlotte Schools Wellness Center, Port Charlotte, FL 33948-4027 | 2017-03-07 |
| 1942665575 | Lydmila Melnik | Nurse Practitioner | 13379 Copper Ave, Port Charlotte, FL 33981-5559 | 2015-12-26 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on MONETTE AUDATH.
| 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.