MS. DEVADAH LA JEUNE KING (NPI# 1568990315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568990315 |
| Entity Type | Individual |
| Full Name | MS. DEVADAH LA JEUNE KING |
| Credential | APRN |
| Practice Address |
1900 Don Wickham Dr Clermont FL 34711 |
| Mailing Address |
1900 Don Wickham Dr Clermont FL 34711-1979 |
| Practice Telephone | 3525368840 |
| Practice Fax Number | 3525368841 |
| Mailing Telephone | 3525368840 |
| Mailing Fax Number | 3525368841 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 9218029 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN9218029 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9218029 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022286700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1222 S Orange Ave, Orlando, FL 32806 | (407) 649-6907 | 4074812035 |
| Street Address |
1900 DON WICKHAM DR |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107133 | Nulma B Carguill | Physician Assistant | 1900 Don Wickham Dr, Mp Sl Admin, Clermont, FL 34711-1979 | 2005-07-12 |
| 1780296269 | Megan Beck | Nurse Practitioner | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2020-08-17 |
| 1861034506 | Jo'el Bartley | Registered Nurse | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2019-10-15 |
| 1356998611 | Heather Lynnette Chandler | Nurse Practitioner | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2019-08-21 |
| 1942780481 | Aurora Queckboerner | Registered Nurse | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2018-08-15 |
| 1114420189 | Dawn M Taylor | Nurse Practitioner | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2018-03-15 |
| 1184134728 | Orange Anesthesia Associates, Inc. | Anesthesiology | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2017-10-10 |
| 1295244176 | Michelle Isaacs | Registered Nurse | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2017-09-24 |
| 1659808285 | Ines Alejandra Serrano Vilca | Family Medicine | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2017-05-14 |
| 1861941031 | Deborah Murray | Nurse Practitioner | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2016-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508349317 | Cygnus Health LLC | Nurse Practitioner | 589 Autumn Ash Dr, Clermont, FL 34715-0009 | 2018-09-09 |
| 1861978116 | Kathy J. Lawrence | Nurse Practitioner | 3115 Citrus Tower Blvd Ste A, Clermont, FL 34711-6880 | 2018-07-18 |
| 1891294831 | Michelle Hylton | Nurse Practitioner | 121 E Division St Unit F, Clermont, FL 34711-7951 | 2018-02-05 |
| 1699186650 | Cynthia Bologna | Nurse Practitioner | 1920 Don Wickham Dr Ste 305, Clermont, FL 34711-1977 | 2014-05-13 |
| 1720631518 | Lindy Marie Herr | Nurse Practitioner | 2080 Oakley Seaver Dr, Clermont, FL 34711-1962 | 2019-07-20 |
| 1114420189 | Dawn M Taylor | Nurse Practitioner | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2018-03-15 |
| 1992239271 | Mayra Navedo-distaffen | Nurse Practitioner | 3121 Citrus Tower Blvd, Clermont, FL 34711-6881 | 2017-04-13 |
| 1114247657 | Valerie Lastition | Nurse Practitioner | 835 7th St, Building B, Suite 4, Clermont, FL 34711-2190 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
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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.