MRS. MYCHELLE ANGSTADT (NPI# 1386275766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386275766 |
| Entity Type | Individual |
| Full Name | MRS. MYCHELLE ANGSTADT |
| Practice Address |
387 Sw Dante Ter Lake City FL 32024-4579 |
| Practice Telephone | 3867552014 |
| Mailing Telephone | 3867552014 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
387 SW DANTE TER |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32024-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170534 | Sf Brevard, LLC | Skilled Nursing Facility | 298 Sw Prosperity Place, Lake City, FL 32024 | 2019-02-20 |
| 1689103079 | Vivian Robinson | Driver | 133 Sw Maereatha Ct, Lake City, FL 32024 | 2017-06-08 |
| 1508014630 | Stephen Lewis O'steen | Physical Therapy Assistant | 146 Sw Orthopaedic Court, Lake City, FL 32024 | 2008-09-03 |
| 1598965634 | Lake City Surgery Center, LLC | Clinic/Center | 208 Sw Prosperity Place, Lake City, FL 32024 | 2007-07-18 |
| 1932308145 | Smile Designs By Charlotte Gerry | Dentist | 857 Sw Main Blvd, Suite 105, Lake City, FL 32024 | 2007-07-17 |
| 1790900447 | Leopold Bejamin Leblique | General Practice | 264 Sw Ridgeview Pl., Lake City, FL 32024 | 2007-04-16 |
| 1073785911 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 1403 Spring St, Lake City, FL 32024 | 2008-04-01 |
| 1124202502 | Christina Mcghghy | Physical Therapy Assistant | 289 Sw Stonegate Terr, Suite #101, Lake City, FL 32024 | 2007-12-21 |
| 1629682133 | Paula Carol Palmer | Registered Nurse | 3857 Sw Birley Ave, Lake City, FL 32024-0003 | 2020-09-02 |
| 1831635176 | Patricia Vance | Chore Provider | 2238 Sw Salem Rd, Lake City, FL 32024-0029 | 2017-01-10 |
| Find all providers in zip 32024 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375261 | Jerome Gibson | Technician | 168 Sw Armand Pl, Lake City, FL 32025-2609 | 2019-09-19 |
| 1730738774 | Lucy Arocho | Technician | 640 Nw Blackberry Cir, Lake City, FL 32055-5091 | 2019-09-11 |
| 1558912550 | Rosa Stewart | Technician | 168 Sw Armand Pl, Lake City, FL 32025-2609 | 2019-09-23 |
| 1952952095 | Regina Rene Mobley-gibson | Technician | 168 Sw Armand Pl, Lake City, FL 32025 | 2019-09-20 |
| 1164072617 | Ann Estelle Larsen | Technician | 619 S Marion St, Lake City, FL 32025 | 2019-09-17 |
| 1932759487 | Lusanola Sawyer | Technician | 619 S Marion St, Lake City, FL 32025 | 2019-09-17 |
| 1588214035 | Donna Johns | Technician | 619 S Marion St, Lake City, FL 32025 | 2019-09-17 |
| 1760032221 | Christiana Taplah Nimely | Technician | 619 S Marion St, Lake City, FL 32025 | 2019-09-17 |
| 1396395851 | Starsha Monet Barnes | Technician | 619 S Marion St, Lake City, FL 32025 | 2019-09-17 |
| 1063062529 | Christa Mccarthy | Technician | 619 S Marion St, Lake City, FL 32025 | 2019-09-17 |
| Find all providers in LAKE CITY | ||||
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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.