BETH ANN DECORDOVA


Address: 8725 N Wickham Rd, 200, Melbourne, FL 32940-2239
Phone: 3214349230

BETH ANN DECORDOVA (NPI# 1518207943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518207943
Entity Type Individual
Full Name BETH ANN DECORDOVA
Other Name BETH ANN HONEKAMP
Credential NP
Practice Address 8725 N Wickham Rd
200
Melbourne
FL 32940-2239
Mailing Address 3300 S Fiske Blvd
Rockledge
FL 32955-4306
Practice Telephone 3214349230
Practice Fax Number 3214349234
Mailing Telephone 3214349230
Mailing Fax Number 3219517408
Enumeration Date 2013-02-21
Last Update Date 2017-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP9433193 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8725 N WICKHAM RD
200
City MELBOURNE
State FL
Zip Code 32940-2239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033101985 Martin E Avalos Internal Medicine 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-5997 2005-08-17
1457973968 Amanda Baker Pharmacist 8725 N Wickham Rd, Melbourne, FL 32940-2239 2020-05-07
1861931198 Health First Family Pharmacy Pharmacy 8725 N Wickham Rd, Suite 102, Melbourne, FL 32940-2239 2017-02-20
1790234219 Megan Mcclain Nurse Practitioner 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2240 2016-09-26
1396143475 Holmes Regional Medical Center, Inc. Pharmacy 8725 N Wickham Rd, Melbourne, FL 32940-2239 2014-12-05
1700166378 Health First Physicians, Inc Orthopaedic Surgery 8725 N Wickham Rd, Suite 301, Melbourne, FL 32940-2239 2011-08-26
1003132887 Nathan D Allison Surgery 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 2010-04-19
1780812586 Aimee Lynn Tieu Obstetrics & Gynecology 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 2009-06-30
1851584593 Amanda Gray Connan Physician Assistant 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 2007-08-27
1699982025 Daniel Reynolds Physical Therapist 8725 N Wickham Rd, Suite 301, Melbourne, FL 32940-5997 2007-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700403649 True Motion Physical Therapy and Wellness Clinic/Center 3536 Peninsula Circle, Mlebourne, FL 32940 2020-06-26
1568089431 Live Gracefully Physio and Wellness, Pllc Clinic/Center 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 2020-06-26
1295360592 Hiteshi Patel Pharmacist 3134 Hummingbird Way, Melbourne, FL 32940 2020-03-06
1972133122 Curtis Lynn Curbo Social Worker 3830 Fringetree Lane, Melbourne, FL 32940 2020-01-16
1861038283 Medfast Urgent Care Centers, LLC Clinic/Center 5500 Stadium Parkway, Melbourne, FL 32940 2019-11-20
1134601594 Caroline Grace Bennett Behavior Technician 5500 Murrell Rd Suite 100, Melbourne, FL 32940 2018-09-02
1730682642 Centennial Medical Group Family Medicine 1341 Bedford Drive, Melbourne, FL 32940 2018-03-16
1356849251 Executive Non-emergency Transportation, Inc. Non-emergency Medical Transport (VAN) 3155-02 Suntree Blvd, Melbourne, FL 32940 2018-01-25
1679081160 Brevard Oaks Center, LLC Skilled Nursing Facility 2355 Vidina Drive, Viera, FL 32940 2018-01-18
1275045817 Comfortable Care Dental Health Professionals. P.a. Dentist 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 2017-11-03
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871105411 Nina Teresa Solar Nurse Practitioner 129 W Hibiscus Blvd Ste A, Melbourne, FL 32901-3006 2020-08-17
1629686415 Johanna B Pillado Nurse Practitioner 1800 Brookshire Cir, Melbourne, FL 32904-6670 2020-07-17
1659900181 Lindsay Hayes Nurse Practitioner 1681 Wekiva Dr, Melbourne, FL 32940-6986 2020-04-06
1548808439 Robert Mathew Johnson Nurse Practitioner 4898 Erin Ln, Melbourne, FL 32940-7156 2019-12-11
1619533940 Jessica Nicole Bartlett Nurse Practitioner 3021 W Eau Gallie Blvd Ste 102, Melbourne, FL 32934-7005 2019-05-13
1811476450 Ashley Ricks Hampton Nurse Practitioner 1070 Cayman Dr, Melbourne, FL 32901-8645 2018-08-13
1245752070 Morgan Brittany Shirley Nurse Practitioner 1019 E. Main St., Melbourne, AR 72556 2017-07-13
1386173649 M Shami Nurse Practitioner 401 N Wickham Rd. Suite S, Melbourne, FL 32935 2017-06-08
1699058263 Deborah Susan Coon Nurse Practitioner 1223 Gateway Dr Ste 1f, Melbourne, FL 32901-2607 2011-09-21
1043509300 Elizabeth Marie Ambrose Nurse Practitioner 1223 Gateway Drivie, Suite 1c, Melbourne, FL 32901-2607 2011-04-06
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Competitor

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City MELBOURNE
Zip Code 32940

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Dataset Information

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.

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