ZACHARY AUSTIN EARL THIESING (NPI# 1346869179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346869179 |
Entity Type | Individual |
Full Name | ZACHARY AUSTIN EARL THIESING |
Practice Address |
325 Via Del Sol Dr Davenport FL 33896-6624 |
Practice Telephone | 7039091448 |
Mailing Telephone | 7039091448 |
Enumeration Date | 2020-04-12 |
Last Update Date | 2020-04-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
325 VIA DEL SOL DR |
City | DAVENPORT |
State | FL |
Zip Code | 33896-6624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780299446 | Credence Homes LLC | In Home Supportive Care | 887 Knightsbridge Circle, Davenport, FL 33896 | 2020-09-10 |
1528685468 | Melodee Casas Contreras | Pharmacist | 6075 Hwy 17-92 N, Davenport, FL 33896 | 2020-06-26 |
1285296350 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 6075 Hwy 17-92 North, Davenport-polk, FL 33896 | 2019-06-28 |
1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
1891176160 | Annissa Michael | Dentist | 7551 Osceola Polk Line Road, Davenport, FL 33896 | 2015-06-12 |
1780081869 | Legends Dermatology, LLC | Dermatology | 1497 Legends Boulevard, Davenport, FL 33896 | 2014-12-04 |
1144661166 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 389 Sand Ridge Dr., Davenport, FL 33896 | 2013-07-08 |
1982984498 | Ruba Khandakji | Pharmacist | 1395 Tuscana Lane, Davenport, FL 33896 | 2011-08-29 |
1326358029 | Sabrina C Pardo | Dietitian, Registered | 2000 Victoria Park Dr., Apt. 2302, Davenport, FL 33896 | 2010-10-15 |
1649598491 | Functional Physical Therapy, LLC | Physical Therapist | 1310 Island Green St, Champions Gate, FL 33896 | 2010-05-04 |
Find all providers in zip 33896 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740839042 | Jason Zinnel | Student in an Organized Health Care Education/Training Program | 3438 Washington St, Davenport, IA 52806-5608 | 2019-09-09 |
1932758265 | Ellyn Joy Watters | Student in an Organized Health Care Education/Training Program | 3501 Jersey Ridge Rd Apt 704, Davenport, IA 52807-2248 | 2019-09-09 |
1710533047 | Devin Stane | Student in an Organized Health Care Education/Training Program | 7211 Cedar St, Davenport, IA 52806-1113 | 2019-08-13 |
1023570801 | Amanda Campbell | Student in an Organized Health Care Education/Training Program | 764 Lobelia Dr, Davenport, FL 33837-9122 | 2019-04-02 |
1851879183 | Shyanne Saladino | Student in an Organized Health Care Education/Training Program | 3512 N Pine St, Davenport, IA 52806-5256 | 2018-07-30 |
1851802276 | Sam Xavier Funk | Student in an Organized Health Care Education/Training Program | 1536 W Central Park Ave, Davenport, IA 52804-1741 | 2017-10-12 |
1073907317 | Austin Smith | Student in an Organized Health Care Education/Training Program | 2216 W 30th St, Davenport, IA 52804-1408 | 2015-03-25 |
1205063096 | Ryan Bobst | Student in an Organized Health Care Education/Training Program | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-18 |
1720695307 | Jordan Barber | Student in an Organized Health Care Education/Training Program | 1320 W Lombard St, Davenport, IA 52804-2029 | 2020-09-28 |
1982210514 | Carly Kristine Ouverson | Student in an Organized Health Care Education/Training Program | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
Find all providers in DAVENPORT |
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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.