VA IM (NPI# 1396010229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396010229 |
| Entity Type | Individual |
| Full Name | VA IM |
| Credential | ARNP |
| Practice Address |
3914 E State Road 64 Bradenton FL 34208-9059 |
| Mailing Address |
5811 27th Ter N St Petersburg FL 33710-3305 |
| Practice Telephone | 9412163800 |
| Practice Fax Number | 9412163703 |
| Mailing Telephone | 7273488393 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9230763 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3914 E STATE ROAD 64 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-9059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619906799 | Cassie Jo Leutzinger | Psychologist | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2006-07-01 |
| 1144874371 | Lauren Jean Amorello | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2019-07-25 |
| 1497289110 | Coastal Senior Healthcare Inc | Family Medicine | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2017-04-19 |
| 1770039372 | Kristi Cay Kita | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2016-09-01 |
| 1659768950 | Gulfside Behavioral Care Np Inc | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2015-04-24 |
| 1508151838 | Regina L Soderberg | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2011-06-15 |
| 1023251352 | Stacy Lee Sauer | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2009-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639587728 | Debbie C. Sheneman Np-c Inc | Nurse Practitioner | 926 14th St W, Bradenton, FL 34205-6646 | 2014-08-01 |
| 1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
| 1942316922 | Susan L Gaida | Nurse Practitioner | 202 Sherwood Dr, Bradenton, FL 34210-4516 | 2006-08-22 |
| 1700820958 | Kimberly A Sand | Nurse Practitioner | 1105 53rd Ave E, Building A, Bradenton, FL 34203-4897 | 2006-06-16 |
| 1407819477 | Janene Mary Diekmann | Nurse Practitioner | 5520 State Road 64, Bradenton Cboc, Bradenton, FL 34208 | 2006-04-10 |
| 1609838119 | Catherine I Mcdermott | Nurse Practitioner | 3914 East State Road 64, Bradenton, FL 34208-9095 | 2006-04-03 |
| 1922091396 | Jill M Heringhaus | Nurse Practitioner | 201 4th Ave E, Suite 1, Bradenton, FL 34208 | 2005-08-31 |
| 1689139297 | Autumn Nicole Stevanus | Nurse Practitioner | 8614 State Road 70 E Ste 104, Bradenton, FL 34202-3710 | 2019-02-07 |
| 1851855050 | Charles Kasten | Nurse Practitioner | 2401 Manatee Ave W, Bradenton, FL 34205-4933 | 2019-01-22 |
| 1104345750 | Andrea Marie Bell | Nurse Practitioner | 101 Riverfront Blvd Ste 700, Bradenton, FL 34205-8823 | 2017-09-14 |
| Find all providers in BRADENTON | ||||
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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.