MR. STEVEN RAY BETTERIDGE II (NPI# 1659870350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659870350 |
| Entity Type | Individual |
| Full Name | MR. STEVEN RAY BETTERIDGE II |
| Credential | NP-C |
| Practice Address |
4710 S Florida Ave Lakeland FL 33813 |
| Mailing Address |
1324 Lakeland Hills Blvd. Attn: Managed Care Dept. Lakeland FL 33805 |
| Practice Telephone | 8632845000 |
| Practice Fax Number | 8632846824 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9365276 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17929 Hunting Bow Cir, Lutz, FL 335585378 | 8137928555 | |
| 2815 Lakeland Hills Blvd, Lakeland, FL 338052224 | 8632845000 | 8632846904 |
| Street Address |
4710 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890462 | Ruben D Adriano | Internal Medicine | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2005-06-10 |
| 1386146215 | Shivani Patel | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813 | 2018-03-07 |
| 1407355217 | Shirley Gwen Rogerson | Registered Nurse | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2018-02-07 |
| 1851803407 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2017-11-03 |
| 1407203821 | Kessarin Gustafson | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2016-05-16 |
| 1134580053 | Paul Stephen Kent Jr. | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2016-03-20 |
| 1417312471 | Jackie Barnes | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2015-12-17 |
| 1740651272 | Nwamaka Ilonzo | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2015-10-09 |
| 1417353665 | Kelly Bolin | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813 | 2014-11-17 |
| 1063858538 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906994 | Janine Marie Divincenzo-smith | Nurse Practitioner | 2927 Northbrook Ln, Lakeland, FL 33811-1663 | 2020-09-15 |
| 1225643638 | Erin Garza | Nurse Practitioner | 1606 Lakewood Dr N, Lakeland, FL 33813-3241 | 2020-09-11 |
| 1184240228 | Alexis Michele Ramos | Nurse Practitioner | 858 Rockingham Rd, Lakeland, FL 33809-4044 | 2020-06-24 |
| 1326664632 | Lindsey R Cromer | Nurse Practitioner | 6945 Ashbury Dr, Lakeland, FL 33809-7804 | 2020-06-23 |
| 1043846611 | Amy Melissa Eaton | Nurse Practitioner | 1123 Walt Williams Rd Lot 192, Lakeland, FL 33809-2392 | 2020-03-16 |
| 1265066732 | Komal Meghat | Nurse Practitioner | 707 Arbor Glen Cir Apt 103, Lakeland, FL 33805-2376 | 2020-02-24 |
| 1629609391 | Brooke Nicole Brooks | Nurse Practitioner | 6883 Lake Eaglebrooke Dr, Lakeland, FL 33813-5667 | 2020-01-30 |
| 1568001774 | Theava Ismarella Preston | Nurse Practitioner | 1409 Alameda Dr S, Lakeland, FL 33805-2301 | 2020-01-06 |
| 1497394738 | Denise Thaxter | Nurse Practitioner | 3262 Pebblebrooke Blvd, Lakeland, FL 33810-1305 | 2020-01-03 |
| 1205478724 | Jisha Mathew | Nurse Practitioner | 2636 High Ridge Dr, Lakeland, FL 33812-5883 | 2019-10-16 |
| Find all providers in LAKELAND | ||||
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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.