MRS. KAREN AFRE DIVINE (NPI# 1417325440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417325440 |
| Entity Type | Individual |
| Full Name | MRS. KAREN AFRE DIVINE |
| Credential | CAA |
| Practice Address |
1350 Hickory St Suite 215 Melbourne FL 32901-3224 |
| Mailing Address |
1775 W Hibiscus Blvd Suite 215 Melbourne FL 32901-2620 |
| Practice Telephone | 3218373820 |
| Practice Fax Number | 3218373654 |
| Mailing Telephone | 3218373820 |
| Mailing Fax Number | 3218373654 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA283 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1350 HICKORY ST SUITE 215 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159670 | Igor Balatsky | Internal Medicine | 1350 Hickory St, Hrmc/hospitalist Program, Melbourne, FL 32901-3224 | 2005-07-29 |
| 1346855301 | Anushree Patel | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-09-15 |
| 1316565492 | Megan Bellinger | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-07-06 |
| 1427673011 | Jessica Joy Milnor | Nurse Anesthetist, Certified Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-06-10 |
| 1487274205 | Eric Cuthbert | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-04-22 |
| 1366061970 | Lisa Kistler | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-14 |
| 1194344168 | Tracy Eichelberger | Respiratory Therapist, Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-10 |
| 1477198752 | Matthew Robert Ferraro | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-11-11 |
| 1356983092 | Parvin Deidri Daneshvar | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-10-15 |
| 1972155489 | David Nester Lucas | Family Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1528311172 | Krzysztof Cieslik | Anesthesiologist Assistant | 1304 Oak Street, Brevard Anesthesia Services, Melbourne, FL 32901 | 2012-10-19 |
| 1346855301 | Anushree Patel | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-09-15 |
| 1184239006 | Daniel Belnap | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2020-09-09 |
| 1508414848 | James Crunkilton | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2019-08-29 |
| 1629637566 | Jessie Lee Mccoy | Anesthesiologist Assistant | 1775 W Hibiscus Blvd, Melbourne, FL 32901-2620 | 2019-06-12 |
| 1235618042 | Anna Joy Miller | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2018-08-13 |
| 1134608201 | Gregory Michael Hendershot | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2018-08-09 |
| 1538670963 | Robert Franklin Hardy | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-10-12 |
| 1578082806 | Andrew Blanke | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-09-19 |
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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.