ALICIA MASON BOLDUC (NPI# 1669020764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669020764 |
| Entity Type | Individual |
| Full Name | ALICIA MASON BOLDUC |
| Credential | APRN |
| Practice Address |
1970 Golf St Sarasota FL 34236-6908 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
| Practice Telephone | 9419571000 |
| Mailing Telephone | 2392748200 |
| Enumeration Date | 2019-09-01 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11003217 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1970 GOLF ST |
| City | SARASOTA |
| State | FL |
| Zip Code | 34236-6908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287309 | Rodrigo G Garcia | Internal Medicine | 1970 Golf St, Sarasota, FL 34236-6908 | 2005-06-28 |
| 1649827643 | India Warner | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2019-08-23 |
| 1063979680 | Claudia Maria Burga | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2019-03-01 |
| 1023582921 | Beth Ann Taylor | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2019-01-15 |
| 1710490867 | Trenten Conkling | Physician Assistant | 1970 Golf St, Sarasota, FL 34236-6908 | 2017-11-12 |
| 1538694385 | Clarissa Mchodgkins | Physician Assistant | 1970 Golf St, Sarasota, FL 34236 | 2017-04-28 |
| 1902358310 | Nancy Devries | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2016-11-02 |
| 1821549304 | Sarah M Whipple | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2016-10-19 |
| 1366822728 | Arin Jackson I | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236 | 2015-06-01 |
| 1154708071 | Rebecca Conway | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2015-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065122 | Pines of Sarasota Healthcare, LLC | Assisted Living Facility | 1251 N Orange Ave, Sarasota, FL 34236 | 2018-05-31 |
| 1053800995 | Susan Grace Swinnerton | Counselor | 1753 Ringling Boulevard, Sarasota, FL 34236 | 2018-05-07 |
| 1457892895 | Smart Living Coaching Services LLC | Psychologist | 1188 N Tamiami Trl Unit 205b, Sarasota, FL 34236 | 2017-03-18 |
| 1427595784 | Lisa Johnson Physical Therapy, Pllc | Physical Therapist | 1451 2nd St, Sarasota, FL 34236 | 2017-01-25 |
| 1003362302 | Jennifer Dawson | Counselor | 1565 State St., Sarasota, FL 34236 | 2016-08-28 |
| 1548662141 | Lanneka White | Nurse Practitioner | 1990 Main Street Suite 750 Unit 738, Sarasota, FL 34236 | 2014-09-25 |
| 1215200878 | Gt Spiritual Enterprises, Inc. | Acupuncturist | 25 South Osprey Avenue, Sarasota, FL 34236 | 2012-02-13 |
| 1225315070 | Michelle Celeste Berhen | Physical Therapist | 1058 N Tamiami Trail 108-280, Sarasota, FL 34236 | 2011-11-08 |
| 1730412701 | My Smile Dentistry | Dentist | 846 South Osprey Avenue, Sarasota, FL 34236 | 2009-09-09 |
| 1134361587 | Kasy Willie Kane | Counselor | 310 South Osprey Avenue, Sarasota, FL 34236 | 2009-04-01 |
| Find all providers in zip 34236 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1902411283 | Chelsea Dingus | Nurse Practitioner | 5741 Bee Ridge Rd Ste 120, Sarasota, FL 34233-5060 | 2020-09-13 |
| 1447878343 | Madeline Noel Michaud | Nurse Practitioner | 2362 Cambridge Dr, Sarasota, FL 34232-3818 | 2020-07-08 |
| 1144878836 | Lisa Mae | Nurse Practitioner | 3900 Clark Rd Ste B1, Sarasota, FL 34233-2369 | 2019-08-27 |
| 1427605583 | Danielle Nicole Davis | Nurse Practitioner | 3457 Fairview Dr, Sarasota, FL 34239-4932 | 2019-08-23 |
| 1730734138 | Diana Kay Perrin | Nurse Practitioner | 6940 Prosperity Cir, Sarasota, FL 34238-1508 | 2019-08-03 |
| 1770137390 | Lynne Ruth Streitmatter | Nurse Practitioner | 4667 Stone Ridge Trl, Sarasota, FL 34232-3030 | 2019-07-31 |
| 1871146613 | Kristin Mceachern | Nurse Practitioner | 6955 El Camino Dr, Sarasota, FL 34240-9566 | 2019-07-22 |
| 1437702339 | Nicole Brandon Higel-backes | Nurse Practitioner | 1540 S Tamiami Trl Ste 204, Sarasota, FL 34239-2921 | 2019-07-19 |
| 1710548896 | Rachel Goldman Aronow | Nurse Practitioner | 4530 Murcia Blvd, Sarasota, FL 34238-4598 | 2019-06-27 |
| Find all providers in SARASOTA | ||||
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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.