JODIE LYNN DODGE (NPI# 1639604556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639604556 |
| Entity Type | Individual |
| Full Name | JODIE LYNN DODGE |
| Credential | ARNP-C |
| Practice Address |
8614 State Road 70 E Ste 200 Bradenton FL 34202-3710 |
| Practice Telephone | 9417271243 |
| Practice Fax Number | 9417519039 |
| Mailing Telephone | 9417271243 |
| Mailing Fax Number | 9417519039 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9380384 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3900 Clark Rd Ste B1, Sarasota, FL 342332369 | 9419263100 | 9413602580 |
| Street Address |
8614 STATE ROAD 70 E STE 200 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34202-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1568002459 | South Florida Injury and Convenient Care | Nurse Practitioner | 2601 Manatee Ave W Ste E, Bradenton, FL 34205-4942 | 2020-01-09 |
| 1033758917 | Brooke Ariel Talbert | Nurse Practitioner | 1803 5th St W, Bradenton, FL 34205-8303 | 2019-12-25 |
| 1912550476 | Vilma Rodriguez | Nurse Practitioner | 1200 37th Ave E, Bradenton, FL 34208-4553 | 2019-07-23 |
| 1366008930 | Mary Janell Hostetler | Nurse Practitioner | 11611 Brookside Dr, Bradenton, FL 34211-4525 | 2019-05-19 |
| 1144886177 | Jewel Tartt | Nurse Practitioner | 1001 13th Avenue East, Medical Department, Bradenton, FL 34208-3420 | 2019-05-15 |
| 1336607522 | Katrina Onyx Wilson | Nurse Practitioner | 304 74th Street Ct Nw, Bradenton, FL 34209-2220 | 2019-03-06 |
| 1184193047 | Mary Kathleen Dufek | Nurse Practitioner | 8610 State Road 70 E, Bradenton, FL 34202-3785 | 2018-11-20 |
| 1255840922 | Megan Fallon | Nurse Practitioner | 250 2nd St E Ste 3b, Bradenton, FL 34208-1027 | 2017-09-26 |
| 1285173500 | Merlyn S Thomas | Nurse Practitioner | 1609 6th Ave E, Bradenton, FL 34208-1439 | 2017-02-20 |
| Find all providers in BRADENTON | ||||
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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.