NISTA GRACIEN (NPI# 1659817344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659817344 |
| Entity Type | Individual |
| Full Name | NISTA GRACIEN |
| Practice Address |
13800 Veterans Way Orlando FL 32827-7401 |
| Mailing Address |
13800 Veterans Way Orlando FL 32827 |
| Practice Telephone | 4076311000 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS53630 | FL | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS53630 | FL | Pharmacy Service Providers |
| Street Address |
13800 VETERANS WAY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017183 | Kevin C Oloughlin | Specialist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2005-07-20 |
| 1679172332 | Roger A. Tabatt | Recreation Therapist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-10-22 |
| 1801493846 | Jose Luis Martinez Serrano | Psychologist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-10-02 |
| 1548876444 | Mike Varro | Prosthetist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-09-17 |
| 1083229199 | Thomas Edward Sheahan | Physical Therapist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-09-15 |
| 1467067421 | Mary Georgi | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-09-15 |
| 1649884008 | John Matthew Allen | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-09-03 |
| 1639789167 | Larry Johns | Social Worker | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-08-10 |
| 1114535739 | Melissa L Atencio | Optometrist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-07-20 |
| 1811505886 | Jon Lauda | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851346324 | Karen Ann Slazinski | Pharmacist | Orlando Va Medical Center, 5201 Raymond St, Orlando, FL 32803 | 2006-05-23 |
| 1467445163 | Rosalie Baez-rodriguez | Pharmacist | 502 Sunport Ln, Orlando, FL 32809-8124 | 2005-08-26 |
| 1598149668 | James Floyd Robertson | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2015-07-17 |
| 1427346253 | Christy Michelle Austin | Pharmacist | 13800 Veterans Way, Pharmacy (119), Orlando, FL 32827-7401 | 2011-07-14 |
| 1235468661 | Teresa Geide | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2009-12-14 |
| 1356588214 | Mariellen J. Moore | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2009-01-14 |
| 1518170281 | Shannon A Miller | Pharmacist | 7975 Lake Underhill Rd, Suite 200, Orlando, FL 32822-8202 | 2007-05-08 |
| 1508966870 | Sunita Cindy Jones | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2006-09-25 |
| 1184631806 | Kimberly Ann Reno-ly | Pharmacist | 13800 Veterans Way, Orlando, FL 32827 | 2006-08-02 |
| 1558304378 | Melinda Elaine Micklewright | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2006-06-13 |
| Find all providers in ORLANDO | ||||
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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.