VANESSA RENEE MIXON (NPI# 1588279459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588279459 |
| Entity Type | Individual |
| Full Name | VANESSA RENEE MIXON |
| Credential | AGNP |
| Practice Address |
3783 Wood Cir Cocoa FL 32926-4828 |
| Practice Telephone | 3219616577 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN11005719 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538700752 | Vanessa Mixon | Counselor | 138 Canal St Ste 506, Pooler, GA 31322-4049 | 2019-09-30 |
| Street Address |
3783 WOOD CIR |
| City | COCOA |
| State | FL |
| Zip Code | 32926-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659619146 | Jennifer Vajanyi | Pharmacist | 2301 Sr 524, Cocoa, FL 32926 | 2013-01-18 |
| 1992077515 | Carol Ann Shirley | Occupational Therapy Assistant | 3032 Dunhill Drive, Cocoa, FL 32926 | 2012-01-27 |
| 1457589111 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 450 Townsend Road, Cocoa, FL 32926 | 2009-07-01 |
| 1740403450 | Katherine Elizabeth Holeman | Counselor | 690 Friday Road, Cocoa, FL 32926 | 2007-04-11 |
| 1326102336 | The Devereux Foundation | Clinic/Center | 225 N Burnett Drive, Cocoa, FL 32926 | 2006-12-21 |
| 1073553483 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2301 Sr 524 Lot 150, Cocoa, FL 32926 | 2006-06-07 |
| 1356824981 | Magdalena A Mcneeley | Behavioral Analyst | 1370 Mycroft Dr, Cocoa, FL 32926-1825 | 2018-09-10 |
| 1487938247 | Delatron Johnson | Occupational Therapy Assistant | 1297 Mycroft Dr, Cocoa, FL 32926-1826 | 2011-09-28 |
| 1487944435 | Rhonda Jones-davis | Marriage & Family Therapist | 5402 Talbot Blvd, Cocoa, FL 32926-1834 | 2011-04-12 |
| 1275760605 | Deborah Lynn Lombard | Nurse Practitioner | 362 Cressa Cir, Cocoa, FL 32926-2462 | 2009-06-11 |
| Find all providers in zip 32926 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
| 1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
| 1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
| 1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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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.