JULIE MARIE LINCICOME (NPI# 1265759674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265759674 |
Entity Type | Individual |
Full Name | JULIE MARIE LINCICOME |
Credential | RN |
Practice Address |
1425 Malabar Rd Ne Palm Bay FL 32907-2506 |
Mailing Address |
961 Gannet Ave Nw Palm Bay FL 32907-9437 |
Practice Telephone | 3214348000 |
Mailing Telephone | 3214095517 |
Enumeration Date | 2010-04-24 |
Last Update Date | 2010-04-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 202250 | SC | Nursing Service Providers |
Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN9216788 | FL | Nursing Service Providers |
Street Address |
1425 MALABAR RD NE |
City | PALM BAY |
State | FL |
Zip Code | 32907-2506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265439616 | Karen Jeanette Bills | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2005-06-30 |
1215554746 | Dawn Ann Stewart-brown | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-06-30 |
1780223230 | Samantha Kraus | Social Worker | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-01-02 |
1811480643 | Michael William Stainton | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2018-06-06 |
1811404866 | Ingrid A Lovelace-joseph | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2017-12-29 |
1205364478 | Amy Lynn Hibbard | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2017-05-31 |
1114380821 | Merle Lewis | Internal Medicine | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2016-03-30 |
1376955682 | Hussien A Ballout | Internal Medicine | 1425 Malabar Rd Ne, Palm Bay, FL 32907 | 2014-05-21 |
1881027068 | Pinkesh B Prajapati | Hospitalist | 1425 Malabar Rd Ne, Palm Bay, FL 32907 | 2013-08-12 |
1003255019 | Anthony Jay Herzog | Hospitalist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2013-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
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Taxonomy Code | 163WE0003X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Emergency |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598363764 | Solomon Oluwadare Ajijo | Registered Nurse | 9960 Altis Cir W Unit 4201, Hialeah, FL 33018-6099 | 2020-10-11 |
1326645607 | Rachel Joan Shaver | Registered Nurse | 32 Ocean Dr, Key Largo, FL 33037-4034 | 2020-10-08 |
1457979627 | Jessica Garrano | Registered Nurse | 548 Elgin Blvd, Davenport, FL 33897-4466 | 2020-07-13 |
1780208629 | Ivan Martinez | Registered Nurse | 2108 N Ola Ave Unit 718, Tampa, FL 33602-2026 | 2020-06-06 |
1295357044 | Katia Lourdes Pena | Registered Nurse | 18200 Sw 100th St, Miami, FL 33196-1735 | 2020-05-15 |
1528687993 | Jorge O Vargas | Registered Nurse | 11836 Sw 26th St, Miramar, FL 33025-0779 | 2020-04-15 |
1184243115 | Judith Pacheco | Registered Nurse | 1065 W 76th St Apt 138, Hialeah, FL 33014-3927 | 2020-04-09 |
1467088633 | Elizabeth Nino | Registered Nurse | 1110 Pine Ridge Rd Ste 201, Naples, FL 34108-8927 | 2020-03-19 |
1053952580 | Giuliana Altare | Registered Nurse | 12147 Sw 140th Ter, Miami, FL 33186-6072 | 2019-10-06 |
1881235059 | Matthew Reynolds | Registered Nurse | 1122 Hallamwood Trl S, Lakeland, FL 33813-1818 | 2019-09-30 |
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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.