CHARMAINE A. BYRD (NPI# 1669073474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669073474 |
| Entity Type | Individual |
| Full Name | CHARMAINE A. BYRD |
| Credential | DNP |
| Practice Address |
214 Se Victoria Gln Lake City FL 32025-9308 |
| Practice Telephone | 3216154997 |
| Mailing Telephone | 3216154997 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
APRN11010095 | FL | Nursing Service Providers |
| Street Address |
214 SE VICTORIA GLN |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-9308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225154537 | Clara Glasscho | Registered Nurse | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851076 | Robert James Dickinson | Registered Nurse | 303 Ravenswood Dr, Saint Augustine, FL 32084-3047 | 2020-11-02 |
| 1922616275 | Tasia Nadine Porter | Registered Nurse | 652 Ne 121st St, Biscayne Park, FL 33161-5510 | 2020-07-22 |
| 1801421714 | Daniel B Wright Np-c | Registered Nurse | 140 Island Way Unit 127, Clearwater, FL 33767-2216 | 2020-03-11 |
| 1891339099 | Shakila Moore | Registered Nurse | 29910 State Road 56, Wesley Chapel, FL 33543-8800 | 2019-10-30 |
| 1578118113 | Kerry Elizabeth Mattos | Registered Nurse | 5150 Central Sarasota Pkwy Apt 209, Sarasota, FL 34238-7623 | 2019-08-08 |
| 1588122386 | Janile Nelson | Registered Nurse | 1525 Sw Iffla Ave, Port St Lucie, FL 34953-6538 | 2019-03-11 |
| 1780141986 | Catherine Elaine Riley | Registered Nurse | 2130 Hopkins St, Orange Park, FL 32073-5220 | 2019-02-23 |
| 1205301942 | Phoenix Rehab Center Corp | Registered Nurse | 8500 W Flagler St Ste 106, Miami, FL 33144-2063 | 2018-10-09 |
| 1306352570 | Nikita L Jenkins | Registered Nurse | 1410 Ne 219th St, Lawtey, FL 32058-4387 | 2017-12-22 |
| 1780109983 | Arlynn W Mueller | Registered Nurse | 10306 Taraby Ct, Orlando, FL 32817-3292 | 2017-08-08 |
| Find all providers with the same taxonomy | ||||
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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.