IDA MARILOU HOUSTON (NPI# 1558411223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558411223 |
| Entity Type | Individual |
| Full Name | IDA MARILOU HOUSTON |
| Other Name | IDA MARILOU BUTALIO |
| Credential | ARNP |
| Practice Address |
2730 N Mcmullen Booth Rd Ste 201 Clearwater FL 33761-3302 |
| Mailing Address |
10051 5th St N Ste 200 St Petersburg FL 33702-2211 |
| Practice Telephone | 7277255224 |
| Practice Fax Number | 7277992183 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 7275686011 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ARNP1512312 | FL | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | ARNP1512312 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 1512312 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 300796100 | 05 |
| Street Address |
2730 N MCMULLEN BOOTH RD STE 201 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858794 | Samantha M Reed | Nurse Practitioner | 2706 Sand Hollow Ct, Clearwater, FL 33761-3731 | 2020-07-10 |
| 1528600236 | Patricia Garcia | Nurse Practitioner | 1200 Woodcrest Ave, Clearwater, FL 33756-4673 | 2019-10-14 |
| 1770149569 | Latrice Markison | Nurse Practitioner | 28465 Us Highway 19 N Ste 200, Clearwater, FL 33761-2511 | 2019-05-16 |
| 1508320458 | Jessica Burgan | Nurse Practitioner | 2047 High Ridge Dr, Clearwater, FL 33763-1311 | 2019-01-24 |
| 1124551429 | Prime Health Partners LLC | Nurse Practitioner | 14100 Us Highway 19 N, Suite 132, Clearwater, FL 33764-7241 | 2017-04-04 |
| 1255880415 | Linda Marchionna | Nurse Practitioner | 1583 Simmons Dr, Clearwater, FL 33756-2326 | 2016-09-29 |
| 1265773790 | Brien M Bourbeau | Nurse Practitioner | 2350 Sunset Point Rd Ste C, Clearwater, FL 33765-1443 | 2013-03-07 |
| 1154554491 | Lynne E Merriam | Nurse Practitioner | 2147 Ne Coachman Road, Clearwater, FL 33765-2616 | 2009-09-03 |
| 1346426780 | Arthritis Pain Treatment Center | Nurse Practitioner | 712 Grand Central St, Clearwater, FL 33756-3412 | 2008-01-16 |
| 1780870246 | Cathy M Daumen | Nurse Practitioner | 1212 S Highland Ave, Clearwater, FL 33756-4334 | 2007-09-19 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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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.