MRS. IDA LOU MERCER (NPI# 1639403173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639403173 |
| Entity Type | Individual |
| Full Name | MRS. IDA LOU MERCER |
| Credential | A.R.N.P. |
| Practice Address |
4024 Central Ave. St. Petersburg FL 33733-0970 |
| Mailing Address |
4024 Central Ave St Petersburg FL 33711-1239 |
| Practice Telephone | 7273277656 |
| Practice Fax Number | 7273238978 |
| Mailing Telephone | 7273277656 |
| Mailing Fax Number | 7273238978 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
ARNP429242 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4024 CENTRAL AVE. |
| City | ST. PETERSBURG |
| State | FL |
| Zip Code | 33733-0970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285836114 | Shankara B Mangipudy | Internal Medicine | 205 Martin Luther King Street North, Suite 420, Saint Petersburg, FL 33733 | 2007-06-04 |
| 1356358899 | Theophil Thomas Sutton | Preventive Medicine | 10000 Bay Pines Blvd, Bay Pines, FL 33733 | 2006-08-01 |
| 1881845543 | Geraldo A Ramos | Internal Medicine | 620 10th Street N., St. Petersburg, FL 33733-1407 | 2008-09-30 |
| 1568535235 | M Shawn Kellerman | Counselor | 3110 1st Ave N 2nd Floor Suite 6w, St Petersburg, FL 33733-6524 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1760009831 | National Ancillary Network Solutions, LLC | Point of Service | 1117 Pinellas Bayway S. #307, St. Petersburg, FL 33715 | 2020-07-06 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1942842042 | Informeddna Medical Group, P.a. | Genetic Counselor, MS | 877 Executive Center Drive West, Suite 206, St. Petersburg, FL 33702-5536 | 2019-10-10 |
| Find all providers in ST. PETERSBURG | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740511815 | Michelle Dan El Carr | Clinical Nurse Specialist | 902 Marlene Dr, Ocoee, FL 34761-3228 | 2010-01-28 |
| 1881866937 | Katherine Ntekim | Clinical Nurse Specialist | 8250 Sw 40th St, Suite C, Miami, FL 33155-3335 | 2008-03-28 |
| 1336329002 | Building New Horizons, Inc. | Clinical Nurse Specialist | 2843 Alt 19, Palm Harbor, FL 34683-1926 | 2007-11-09 |
| 1811050909 | Judith Ann Walters | Clinical Nurse Specialist | 9990 Coconut Rd, Estero, FL 34135-8488 | 2006-12-19 |
| 1477657831 | Rebecca Dunn | Clinical Nurse Specialist | 2015 N Central Ave, Tampa, FL 33602 | 2006-09-07 |
| 1891332425 | Michelle Dan El Carr Inc | Clinical Nurse Specialist | 902 Marlene Dr, Ocoee, FL 34761-3228 | 2019-12-02 |
| 1265716401 | Emma Wood | Clinical Nurse Specialist | 100 N Main St, Chattahoochee, FL 32324-1107 | 2011-10-06 |
| 1740595271 | Pam Rillstone, Phd, Cns, Bc, Ct, Pllc | Clinical Nurse Specialist | 6817 Southpoint Pkwy, Ste 304, Jacksonville, FL 32216-6282 | 2010-08-09 |
| 1851557748 | Elizabeth Simoes | Clinical Nurse Specialist | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2008-07-31 |
| 1265699854 | A Susan Nelson, Arnp, Inc. | Clinical Nurse Specialist | 1711 Nw Federal Hwy, Stuart, FL 34994-9631 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
| City | ST. PETERSBURG |
| Zip Code | 33733 |
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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.