SISA K JOSE (NPI# 1407368129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407368129 |
| Entity Type | Individual |
| Full Name | SISA K JOSE |
| Practice Address |
3140 S Falkenburg Rd Riverview FL 33578-2574 |
| Mailing Address |
12662 Telecom Dr Temple Terrace FL 33637-0935 |
| Practice Telephone | 8139100300 |
| Mailing Telephone | 8139108708 |
| Mailing Fax Number | 8558527153 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9230604 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | 8ZBR6 | 01 |
| Street Address |
3140 S FALKENBURG RD |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33578-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275735276 | Sidharth Panchamia | Anesthesiology | 3140 S Falkenburg Rd, Suite 205, Riverview, FL 33578-2574 | 2007-06-01 |
| 1881240810 | Guidewell Sanitas I, LLC | Clinic/Center | 3140 S Falkenburg Rd, Riverview, FL 33578-2574 | 2019-08-15 |
| 1033776166 | Tampa General Medical Group Inc | Internal Medicine | 3140 S Falkenburg Rd, Riverview, FL 33578-2574 | 2019-05-23 |
| 1366981268 | Canyon Dialysis LLC | Clinic/Center | 3140 S Falkenburg Rd, Ste 101, Riverview, FL 33578-2574 | 2017-02-13 |
| 1558811315 | Florida Urology Partners LLP | Non-Pharmacy Dispensing Site | 3140 S Falkenburg Rd, Ste 203, Riverview, FL 33578-2574 | 2016-10-05 |
| 1962955765 | Omni Pain Care, Pa | Pain Medicine | 3140 S Falkenburg Rd, Suite 205, Riverview, FL 33578-2574 | 2016-07-27 |
| 1578793493 | Andrew Riano Obando | Physician Assistant | 3140 S Falkenburg Rd, Riverview, FL 33578-2574 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371015 | Carnegie Cares Home Care & Services LLC | In Home Supportive Care | 1004 Rose Petal Place, Riverview, FL 33578 | 2020-09-21 |
| 1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
| 1073138012 | Limitless Therapy, LLC. | Physical Therapist | 8637 Turnstone Shore Lane, Riverview, FL 33578 | 2020-06-16 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1154963759 | Kenneshia M Martin | Physical Therapy Assistant | 13135 Early Run Lane, Riverview, FL 33578 | 2019-10-15 |
| 1376015180 | Dentists of Riverview, Pa | Dentist | 13123 S. Us Hwy 301, Riverview, FL 33578 | 2018-12-19 |
| 1285102152 | Nothing About You Without You, LLC | Case Management | 10428 Yellow Spice Ct, Riverview, FL 33578 | 2018-11-08 |
| 1053887521 | Natasha Dickens | Counselor | 5523 Legacy Crescent Place, Unit 204, Riverview, FL 33578 | 2018-10-22 |
| 1376025965 | Helaina Dollins | Specialist/Technologist | 3347 Magnolia Springs Drive, Apt 203, Riverview, FL 33578 | 2018-08-30 |
| Find all providers in zip 33578 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757184 | Anne Wissman | Nurse Practitioner | 6308 Magnolia Park Blvd, Riverview, FL 33578-8675 | 2020-10-14 |
| 1811595002 | Miguel Angel Prado Gomez | Nurse Practitioner | 7325 Blue Beech Dr, Riverview, FL 33578-8686 | 2020-10-11 |
| 1376157180 | Yeilene Ashley Schower | Nurse Practitioner | 11210 Rice Creek Rd, Riverview, FL 33569-5132 | 2020-08-31 |
| 1336759943 | Tanya Renee Woulard | Nurse Practitioner | 13105 Elk Mountain Dr, Riverview, FL 33579-7184 | 2020-08-07 |
| 1104436385 | Bethany Eilers | Nurse Practitioner | 14550 Shenandoah Dr, Riverview, MI 48193-7727 | 2020-08-03 |
| 1558986232 | Melissa Raquel Acosta | Nurse Practitioner | 13039 Summerfield Square Dr Unit A, Riverview, FL 33578-7402 | 2020-06-09 |
| 1437782182 | Tanya Combs | Nurse Practitioner | 11765 Winterset Cove Dr, Riverview, FL 33579-9350 | 2020-02-20 |
| 1811527781 | Nadege Nolla Colin | Nurse Practitioner | 14109 Poke Ridge Dr, Riverview, FL 33579-3509 | 2020-01-20 |
| 1619517752 | Caitlin Janell White | Nurse Practitioner | 8027 Arbor Park Ln, Riverview, FL 33578-4078 | 2020-01-07 |
| 1336786128 | Olga Manite Nicolas | Nurse Practitioner | 13310 Amber Sky Pl, Riverview, FL 33579-7278 | 2019-11-29 |
| Find all providers in RIVERVIEW | ||||
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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.