MS. MARCIA ANNETTE BRYAN (NPI# 1275884553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275884553 |
| Entity Type | Individual |
| Full Name | MS. MARCIA ANNETTE BRYAN |
| Practice Address |
957 Rock Creek Street Apopka FL 32712 |
| Practice Telephone | 4078802107 |
| Mailing Telephone | 4078802107 |
| Mailing Fax Number | 4078802107 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 6906025 | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 142793800 | 05 |
| Street Address |
957 ROCK CREEK STREET |
| City | APOPKA |
| State | FL |
| Zip Code | 32712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428467 | Pamella Omelda Odoms-brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 541 Shirley Dr., Apopka, FL 32712 | 2020-08-18 |
| 1871158741 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1520 W. Orange Blossom Trail, Apopka, FL 32712 | 2019-05-07 |
| 1477088433 | Kim Johnson | Counselor | 1041 Lake Francis Drive, Apopka, FL 32712 | 2017-04-27 |
| 1497290811 | Yasmine Mollings | Behavior Technician | 1741 Parkglen Circle, Apopka, FL 32712 | 2016-12-20 |
| 1316391170 | Infinity Dental LLC | Dentist | 1450 N. Rock Springs Rd, Apopka, FL 32712 | 2016-04-19 |
| 1518368323 | Eleanor Mccall Hawthorne | Counselor | 1928 Bluff Oak St., Apopka, FL 32712 | 2014-09-11 |
| 1497092613 | Anayanzi Annette Simpson | Social Worker | 523 Wekiva Commons Circle #4, Apopka, FL 32712 | 2013-01-08 |
| 1790067460 | Benjamin W Song | Dentist | 2053 Palm Vista Drive, Apopka, FL 32712 | 2011-09-19 |
| 1235367400 | Adventist Home Care Services | Home Health | 1109 Tall Pine Drive, Apopka, FL 32712 | 2009-06-26 |
| 1013169333 | Shannon Crim-mosey | Social Worker | 1117 Leyland Court, Apopka, FL 32712 | 2008-10-17 |
| Find all providers in zip 32712 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241489 | Ganielle Marva Peterson | Nursing Home Administrator | 2773 Se Clareton Ter, Port St Lucie, FL 34952-6621 | 2020-09-30 |
| 1326652231 | Emma Grace Homes LLC | Nursing Home Administrator | 600 Jefferis Ct, Eustis, FL 32726-5114 | 2020-09-08 |
| 1629692736 | Michele M Gavin | Nursing Home Administrator | 3450 Kaiser Ave, Saint Cloud, FL 34772-7311 | 2020-06-04 |
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1073147914 | Kemisha Latoya Mathis | Nursing Home Administrator | 2279 W 2nd St, Jacksonville, FL 32209-6906 | 2020-03-01 |
| 1093284903 | New Day Assisted Living, LLC | Nursing Home Administrator | 1931 Sw Mcallister Ln, Port St Lucie, FL 34953-2064 | 2018-11-20 |
| 1174030589 | Olivia Marcia Batchelor | Nursing Home Administrator | 1904 Gardner Ave, Lehigh Acres, FL 33936-5344 | 2018-01-08 |
| 1699212399 | Ursula Schmiel-degama | Nursing Home Administrator | 11900 Nw 35th St, Sunrise, FL 33323-1242 | 2017-01-19 |
| 1578915070 | Luz Medy Lebron Monclova | Nursing Home Administrator | 5681 Edenfield Rd, Apt. 1005, Jacksonville, FL 32277-1469 | 2016-07-07 |
| 1992157689 | Marie Louis | Nursing Home Administrator | 19 Burning Wick Pl, Palm Coast, FL 32137-8802 | 2016-07-06 |
| Find all providers with the same taxonomy | ||||
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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.