BROOKE HINGA (NPI# 1417401076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417401076 |
| Entity Type | Individual |
| Full Name | BROOKE HINGA |
| Credential | PA-C |
| Practice Address |
11602 Lake Underhill Rd # 119 Orlando FL 32825-4458 |
| Practice Telephone | 4077811000 |
| Practice Fax Number | 4077811001 |
| Mailing Telephone | 4077811000 |
| Mailing Fax Number | 4077811001 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9109688 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL LICENSE | PA9109688 | 01 |
| Street Address |
11602 LAKE UNDERHILL RD # 119 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825-4458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548247869 | Philip T Hardy | Family Medicine | 11602 Lake Underhill Rd, Suite 119, Orlando, FL 32825-4458 | 2005-12-28 |
| 1023626967 | Lyndsey Serino | Speech-Language Pathologist | 11602 Lake Underhill Rd, Orlando, FL 32825-4458 | 2020-07-16 |
| 1023574175 | Juleah Mirita Cintron | Physical Therapist | 11602 Lake Underhill Rd, Orlando, FL 32825-4458 | 2019-02-13 |
| 1114409612 | Nory Medalith Vela | Speech-Language Pathologist | 11602 Lake Underhill Rd, Orlando, FL 32825-4458 | 2018-08-30 |
| 1518465855 | Catherine L Castillo | Speech-Language Pathologist | 11602 Lake Underhill Rd, Orlando, FL 32825-4458 | 2018-01-31 |
| 1912449117 | Rellie Bansil | Physical Therapist | 11602 Lake Underhill Rd, Ste 129, Orlando, FL 32825-4458 | 2016-11-06 |
| 1417302449 | Elizabeth Otto | Developmental Therapist | 11602 Lake Underhill Rd, Orlando, FL 32825-4458 | 2016-04-27 |
| 1457712390 | Julianne Theresa Raymond | Occupational Therapist | 11602 Lake Underhill Rd, #129, Orlando, FL 32825-4458 | 2016-03-18 |
| 1942669155 | Kiana Maria Ramirez | Physical Therapist | 11602 Lake Underhill Rd, Suite 129, Orlando, FL 32825-4458 | 2016-02-16 |
| 1033576582 | Kerry Dale | Speech-Language Pathologist | 11602 Lake Underhill Rd, Suite 129, Orlando, FL 32825-4458 | 2016-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
| 1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
| 1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
| 1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
| 1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
| 1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
| 1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
| Find all providers in zip 32825 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054843 | Cynthia Marie Mills | Physician Assistant | 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 | 2018-12-16 |
| 1447751029 | Brittney Marie Osterhoudt | Physician Assistant | 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 | 2018-02-28 |
| 1164934006 | Stephanie Carmen Oberweger | Physician Assistant | 8124 Chianti Dr, Orlando, FL 32836-5311 | 2017-11-01 |
| 1881046407 | Chrystal Danielle Fravel | Physician Assistant | 2609 S Orange Ave, Orlando, FL 32806-4547 | 2016-07-07 |
| 1922498740 | Taylor Stetson | Physician Assistant | 7403 Sugar Bend Dr, Orlando, FL 32819-7215 | 2015-02-01 |
| 1619370103 | Emily R Avgeropoulos | Physician Assistant | 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 | 2014-09-29 |
| 1417357567 | Allyson Lee | Physician Assistant | 3090 Caruso Ct, Orlando, FL 32806-8510 | 2014-08-26 |
| 1386052371 | Nancy Callaham | Physician Assistant | 6953 Cadiz Blvd, Orlando, FL 32819-4713 | 2014-07-23 |
| 1922367010 | Quality Care Providers | Physician Assistant | 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 | 2012-05-09 |
| 1013212067 | Rheumatology Associates of Central Fl. | Physician Assistant | 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 | 2011-01-24 |
| Find all providers in ORLANDO | ||||
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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.