TELIYA ZYAMBO (NPI# 1376178905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376178905 |
Entity Type | Individual |
Full Name | TELIYA ZYAMBO |
Practice Address |
3357 W Vine St # 303 Kissimmee FL 34741-4664 |
Mailing Address |
3357 W Vine St Kissimmee FL 34741-4664 |
Practice Telephone | 4079627449 |
Mailing Telephone | 4079627449 |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-05-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 11006436 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1376178905 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
863 Big Buck Cir, Winter Springs, FL 327085127 | 4072213678 |
Street Address |
3357 W VINE ST # 303 |
City | KISSIMMEE |
State | FL |
Zip Code | 34741-4664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
Find all providers in zip 34741 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
1124660410 | Elecia Dean Trowers | Nurse Practitioner | 321 W Oak St, Kissimmee, FL 34741-4421 | 2019-10-08 |
1275187924 | Cassandra Marie Craft | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2019-07-31 |
1356792675 | Pablo F Perez | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2016-06-28 |
1669769923 | Alicia Ramon Hite | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2011-07-06 |
1043517808 | Mary Christine Decker | Nurse Practitioner | 719 E Oak St, Kissimmee, FL 34744-4580 | 2011-02-14 |
1033446018 | Deenah Ragnauth | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2009-11-11 |
1265638688 | Gilah Freidel Weissman | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2007-06-22 |
1982712600 | Linda Anne Hill | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2006-08-25 |
1538191044 | Mary Ellen Kronberg | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2006-07-07 |
Find all providers in KISSIMMEE |
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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.