WESTON WALL (NPI# 1437512969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437512969 |
| Entity Type | Individual |
| Full Name | WESTON WALL |
| Practice Address |
4655 Waterford Ct Ne St Petersburg FL 33703-4948 |
| Practice Telephone | 7274323225 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4655 WATERFORD CT NE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556368 | Jacob Sidney Alexander | Student in an Organized Health Care Education/Training Program | 1663 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-07-27 |
| 1437647641 | Eric William Yuschak | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N Ste 400, St Petersburg, FL 33710-1629 | 2018-04-24 |
| 1164929774 | Omid Roostaeyan | Student in an Organized Health Care Education/Training Program | 700 6th St S Bay Bayfront, St Petersburg, FL 33701-4815 | 2018-04-10 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1083146468 | Tyler Wellman | Student in an Organized Health Care Education/Training Program | 1078 Paseo Del Rio Ne, St Petersburg, FL 33702-1457 | 2017-04-03 |
| 1326592239 | Van Le Nguyen | Student in an Organized Health Care Education/Training Program | 8001 Elbow Ln N, St Petersburg, FL 33710-4323 | 2016-08-09 |
| 1972967453 | Travis Alexander Williams | Student in an Organized Health Care Education/Training Program | 625 13th Ave Ne, St Petersburg, FL 33701-1310 | 2016-04-11 |
| 1598102329 | Bridget Narvaez | Student in an Organized Health Care Education/Training Program | 2075 Lakewood Club Dr S, Apt. A, St Petersburg, FL 33712-4978 | 2013-06-03 |
| 1205434867 | Diane Rose Bronkema | Student in an Organized Health Care Education/Training Program | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2020-10-15 |
| 1114525771 | John Daniel Hoch | Student in an Organized Health Care Education/Training Program | 625 6th Ave S, St Petersburg, FL 33701-4662 | 2020-10-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
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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.