CHARLENE ANN DEMERS (NPI# 1407867336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407867336 |
| Entity Type | Individual |
| Full Name | CHARLENE ANN DEMERS |
| Other Name | CHARLENE ANN STANDIFER |
| Credential | ARNP |
| Practice Address |
4450 W. Eau Gallie Blvd Suite 250 Melbourne FL 32034 |
| Practice Telephone | 3217516671 |
| Practice Fax Number | 4073394903 |
| Mailing Telephone | 3217516671 |
| Mailing Fax Number | 4073394903 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
775172 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 307328900 | 05 | |
| FL | P00293656 | RR MEDICARE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851540777 | Charlene Demers | Licensed Practical Nurse | 9714 Highland Ave, Dansville, NY 14437-1746 | 2008-09-16 |
| Street Address |
4450 W. EAU GALLIE BLVD SUITE 250 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053376723 | Marion Davenport | Nurse Practitioner | 720 E New Haven Avenue, Melbourne, FL 32901 | 2006-04-18 |
| 1407379142 | Florida East Coast Health Services, LLC | Nurse Practitioner | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2017-07-25 |
| 1861772527 | Shelina Paradis | Nurse Practitioner | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2011-08-25 |
| 1932256047 | Meghan Judith Viegas | Nurse Practitioner | 720 E New Haven Ave, Melbourne, FL 32901-5474 | 2007-01-04 |
| 1033174750 | Joan Burritt | Nurse Practitioner | 720 E New Haven Ave, Melbourne, FL 32901 | 2006-04-18 |
| 1225092844 | Sharon Glisson | Nurse Practitioner | 930 S Harbor City Blvd, Melbourne, FL 32901 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
| 1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
| 1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
| 1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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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.