KRISTEN CUELLAR (NPI# 1518414994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518414994 |
| Entity Type | Individual |
| Full Name | KRISTEN CUELLAR |
| Practice Address |
2428 Nuremberg Blvd Punta Gorda FL 33983-2609 |
| Practice Telephone | 9419325105 |
| Mailing Telephone | 9419325105 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
2428 NUREMBERG BLVD |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33983-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114327244 | Alexandra Fichetti | Counselor | 1196-j Rio De Janeiro. Ave, Punta Gorda, FL 33983 | 2014-08-26 |
| 1164749719 | Larry D. Rand | Physician Assistant | 27289 Voyageur Dr., Punta Gorda, FL 33983 | 2010-04-22 |
| 1912039223 | Wal-mart Stores, Inc. | Technician/Technologist | 375 Kings Highway, Port Charlotte, FL 33983 | 2007-03-12 |
| 1669552360 | Paul Edward Tuma | Pharmacist | 2000 Kings Highway, Port Charlotte, FL 33983 | 2006-10-17 |
| 1013007145 | Amy Louise Houser | Social Worker | 26559 Barraquilla Avenue, Punta Gorda, FL 33983 | 2006-10-12 |
| 1679560262 | Deep Creek Rnc, LLC | Skilled Nursing Facility | 25325 Rampart Blvd, Port Charlotte, FL 33983 | 2005-09-29 |
| 1447677208 | Karen Partridge | Pharmacist | 375 Kings Hwy, Wal-mart Pharmacy 3349, Port Charlotte, FL 33983 | 2014-03-18 |
| 1104261650 | North Port Retirement Centers, Inc. | Assisted Living Facility | 24949 Sandhill Blvd, Punta Gorda, FL 33983 | 2013-05-09 |
| 1194864009 | Petrija Jen Do Pa | Personal Emergency Response Attendant | 24451 Sandhill Blvd, Suite A, Punta Gorda, FL 33983 | 2007-02-06 |
| 1457652935 | Aggies's Place, Inc. | In Home Supportive Care | 2428 Nuremberg Blvd., Punta Gorda, FL 33983-2609 | 2010-11-15 |
| Find all providers in zip 33983 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054377 | John Archer LLC | Clinic/Center | 2013 River Basin Ter, Punta Gorda, FL 33982-1106 | 2019-10-09 |
| 1871020198 | Terri Ufko | Clinic/Center | 512 Burland St, Punta Gorda, FL 33950-5606 | 2017-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33983 |
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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.