KATIA TOLEDO CERQUEIRA GANESH (NPI# 1619290210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619290210 |
| Entity Type | Individual |
| Full Name | KATIA TOLEDO CERQUEIRA GANESH |
| Other Name | KATIA TOLEDO CERQUEIRA |
| Credential | ARNP |
| Practice Address |
619 S Marion Ave Lake City FL 32025-5808 |
| Practice Telephone | 3867553016 |
| Mailing Telephone | 3867553016 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN9266612 | FL | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9266612 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
619 S MARION AVE |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275520660 | Kay B Ramnarine | Counselor | 619 S Marion Ave, Lake City, FL 32025-5808 | 2005-09-30 |
| 1104442441 | Danielle Marie Howard | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-23 |
| 1427672617 | James Wooley | Recreation Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-03 |
| 1316573611 | Tara S. Keen | Nurse Practitioner | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-03-18 |
| 1023653086 | Yen Margaret Dao Barnes | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-11-14 |
| 1790328847 | Brittni Cleland | Dance Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-10-22 |
| 1801447800 | Warrenette Yvette Kelly | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-09-23 |
| 1982263117 | Katherine Susannah Mary Thomas | Optometrist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-06-11 |
| 1952871220 | Michael Canard | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-11-29 |
| 1174009914 | Ashlyn Elizabeth Kerce | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979761 | L L Nurse Practitioner Consutling LLC Ll Aesthethics LLC | Nurse Practitioner | 165 Sw Vision Gln, Lake City, FL 32025-1111 | 2019-12-16 |
| 1235440074 | Pamela Carroll | Nurse Practitioner | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2010-06-26 |
| 1497864201 | Cheryl Toppa | Nurse Practitioner | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| 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.