COLEEN MARY VILLARREAL (NPI# 1356860514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356860514 |
| Entity Type | Individual |
| Full Name | COLEEN MARY VILLARREAL |
| Practice Address |
6500 38th Ave N Saint Petersburg FL 33710-1629 |
| Mailing Address |
9912 82nd St Seminole FL 33777-1903 |
| Practice Telephone | 7033414870 |
| Practice Fax Number | 7033444707 |
| Mailing Telephone | 7038671134 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
9194837 | FL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9194837 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6500 38TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33710-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233755 | Christopher Bradley Gustafson | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2020-04-03 |
| 1659831253 | Sandeep Naresh Chugani | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2019-03-21 |
| 1376076026 | Jenna Xiao Cheng | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2017-04-10 |
| 1083146898 | Marilyn Malia | Family Medicine | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2017-03-30 |
| 1255789772 | Katy Mclaughlin | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2016-05-25 |
| 1093162596 | Justin Judd Lafrance | Emergency Medicine | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2016-05-16 |
| 1528487568 | Anthony Vinson | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2014-04-07 |
| 1831455435 | Jami Lynn Hagan | Speech-Language Pathologist | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2012-04-09 |
| 1154607596 | Michelle Nichole Acosta | Physician Assistant | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2011-10-31 |
| 1215077987 | Paula Schroeder | Occupational Therapist | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689821 | Steven Michael Barker | Nurse Practitioner | 11800 Dr Martin Luther King Jr St N Apt 6303, Saint Petersburg, FL 33716-1656 | 2020-11-04 |
| 1801401815 | Rachel Leah Shapiro | Nurse Practitioner | 6798 Crosswinds Dr N Ste E101, Saint Petersburg, FL 33710-5479 | 2020-09-15 |
| 1023626637 | Tameckia Reece | Nurse Practitioner | 7509 39th Pl N, Saint Petersburg, FL 33709-4314 | 2020-07-20 |
| 1780202838 | Jillian Meaghan Lodico | Nurse Practitioner | 2721 60th Ave N, Saint Petersburg, FL 33714-1455 | 2020-07-06 |
| 1609497064 | Gloria A Oxendale | Nurse Practitioner | 201 4th St S Unit 520, Saint Petersburg, FL 33701-4565 | 2020-04-27 |
| 1396394227 | Tiffany Lynn D'angelo | Nurse Practitioner | 6870 11th Ave N, Saint Petersburg, FL 33710-6110 | 2019-09-04 |
| 1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
| 1538623459 | Stephanie Grace Hunt | Nurse Practitioner | 6450 38th Ave N Ste 120, Saint Petersburg, FL 33710-1649 | 2019-01-24 |
| 1295299436 | Danielle Alexandra Duvoisin | Nurse Practitioner | 200 4th Ave S Unit 214, Saint Petersburg, FL 33701-4390 | 2019-01-22 |
| 1013491711 | Barbara Roserie | Nurse Practitioner | 3024 Bennett St N, Saint Petersburg, FL 33713-2638 | 2018-09-18 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33710 |
Please comment or provide details below to improve the information on COLEEN MARY VILLARREAL.
| 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.