MRS. ASHLEY NICOLE PENALOZA (NPI# 1669966719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669966719 |
| Entity Type | Individual |
| Full Name | MRS. ASHLEY NICOLE PENALOZA |
| Credential | MSN, ARNP, FNP-C |
| Practice Address |
635 1st St N Winter Haven FL 33881 |
| Mailing Address |
112 Lake Whistler Dr Auburndale FL 33823-2213 |
| Practice Telephone | 8632940670 |
| Mailing Telephone | 8632871404 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9310149 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN9310149 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
635 1ST ST N |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819853 | Mary R De Sena | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4129 | 2005-08-29 |
| 1467916551 | Dorothea Annette Thompson | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2019-01-23 |
| 1790261964 | Tiffney M Martin | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-07-11 |
| 1285128082 | Julie Kregl Earp | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-06-15 |
| 1558854075 | Molly Leigh Fox | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2018-06-09 |
| 1891204608 | Roxanna Ford | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2017-09-25 |
| 1922543966 | Cecilia Mcdonald | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-12-29 |
| 1629434808 | Crystal Elizabeth Ingle | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-01-04 |
| 1821453044 | Michele Murphy | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2015-12-15 |
| 1770980153 | Jodie Poling | Specialist/Technologist, Other | 635 1st St N, Winter Haven, FL 33881-4129 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564699 | Family Holistic Wellness LLC | Nurse Practitioner | 543 Avenue K Se, Winter Haven, FL 33880-4215 | 2020-10-02 |
| 1003426883 | Natasha L Fenelon | Nurse Practitioner | 2065 Whispering Trails Blvd, Winter Haven, FL 33884-1838 | 2020-08-05 |
| 1659998102 | Amanda Anne Waters | Nurse Practitioner | 1209 Cypress Pt E, Winter Haven, FL 33884-3027 | 2020-07-01 |
| 1891259925 | Nacresha Nicole Richardson | Nurse Practitioner | 823 Terranova Rd, Winter Haven, FL 33884-3441 | 2019-01-23 |
| 1245701093 | Neena Jinoy | Nurse Practitioner | 400 Avenue K Se Ste 5, Winter Haven, FL 33880-4123 | 2018-12-05 |
| 1154899383 | Iris Bosede Olasoji | Nurse Practitioner | 5753 Royal Hills Cir, Winter Haven, FL 33881-8794 | 2018-11-06 |
| 1407321300 | Carey Coco | Nurse Practitioner | 635 First Street, North, Winter Haven, FL 33881-4129 | 2018-10-06 |
| 1669956991 | Malinda Wood | Nurse Practitioner | 2647 21st St Nw, Winter Haven, FL 33881-1250 | 2018-09-22 |
| 1215415534 | Meri Melodie Mitchell | Nurse Practitioner | 664 Lake Dexter Cir, Winter Haven, FL 33884-2214 | 2018-07-30 |
| 1164944203 | Lindsay Hamid | Nurse Practitioner | 550 Pope Ave Nw Unit 200, Winter Haven, FL 33881-4679 | 2017-07-11 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
Please comment or provide details below to improve the information on MRS. ASHLEY NICOLE PENALOZA.
| 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.