HELENA SYLVIA TAVAREZ (NPI# 1538778378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538778378 |
Entity Type | Individual |
Full Name | HELENA SYLVIA TAVAREZ |
Practice Address |
1000 Mar Walt Drive Wwmc Intensivists Department Fort Walton Beach FL 32547-6708 |
Mailing Address |
1005 Mar Walt Drive Administration Fort Walton Beach FL 32547-6707 |
Practice Telephone | 8502430118 |
Practice Fax Number | 8502430594 |
Mailing Telephone | 8502430118 |
Mailing Fax Number | 8502430594 |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-07-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN11008313 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
APRN11008313 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1000 MAR WALT DRIVE WWMC INTENSIVISTS DEPARTMENT |
City | FORT WALTON BEACH |
State | FL |
Zip Code | 32547-6708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134149511 | Ryan Daniel Weprin | Internal Medicine | 1000 Mar Walt Drive, Wwmc Hospitalist Department, Fort Walton Beach, FL 32547-6707 | 2006-07-20 |
1548801897 | Marlon K Tudlong | Nurse Practitioner | 1000 Mar Walt Drive, Fort Walton Beach, FL 32547-6708 | 2019-10-07 |
1699259333 | Jordan Abraham Kottler | Physician Assistant | 1000 Mar Walt Drive, Wwmc Intensivits Program, Fort Walton Beach, FL 32547-6707 | 2018-09-19 |
1184066672 | Alexander Adelsberger | Psychiatry & Neurology | 1000 Mar Walt Drive, Psychiatric Treatment Unit, Fort Walton Beach, FL 32547 | 2013-07-24 |
1275739021 | Michael Fahey Traver | Psychiatry & Neurology | 1000 Mar Walt Drive, Ptu, Fort Walton Beach, FL 32547 | 2007-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
Find all providers in zip 32547 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629686878 | Eric Daniel Hinojosa | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295342657 | Fritz Gerald Luma | Nurse Practitioner | 121 Nw 2nd Ave Unit 2, Hallandale Beach, FL 33009-4132 | 2020-09-29 |
1124645817 | Ashley Danielle Porcaro | Nurse Practitioner | 6133 Branchwood Dr, Lake Worth, FL 33467-7390 | 2020-06-29 |
1891324257 | Sara Quijano | Nurse Practitioner | 703 Willow Branch Ct, Lutz, FL 33549-5630 | 2020-04-07 |
1174098404 | Kristina Ashley Gass | Nurse Practitioner | 11845 Sw 100th St, Miami, FL 33186-2742 | 2018-10-13 |
1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
1235676909 | Jennifer Price | Nurse Practitioner | 4853 Saratoga Pl, Land O Lakes, FL 34639-6158 | 2017-01-19 |
1598139859 | Kyle Adam Payne | Nurse Practitioner | 6769 Hampshire Blvd, Lakeland, FL 33813-4429 | 2015-11-23 |
1144611716 | Hector F Gordillo | Nurse Practitioner | 1611 Nw 12th Ave Ste C402, Miami, FL 33136-1005 | 2015-02-18 |
1245518976 | Corrado LLC | Nurse Practitioner | 1698 B West Hibiscus Blvd, Suite B, Melbourne, FL 32901-2639 | 2011-07-29 |
1992092464 | Maria E Castro | Nurse Practitioner | 2905 Carolina Ave, Lakeland, FL 33803-4001 | 2011-07-06 |
Find all providers with the same taxonomy |
City | FORT WALTON BEACH |
Zip Code | 32547 |
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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.