MRS. MARY KATHRYN ELLERMEYER-STAPLETON (NPI# 1710284617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710284617 |
Entity Type | Individual |
Full Name | MRS. MARY KATHRYN ELLERMEYER-STAPLETON |
Credential | ARNP-C, ANP |
Practice Address |
1700 Baker Ave Haines City FL 33844-8839 |
Mailing Address |
Po Box 91630 Lakeland FL 33804-1630 |
Practice Telephone | 8634213204 |
Mailing Telephone | 8636602673 |
Enumeration Date | 2011-02-12 |
Last Update Date | 2016-09-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP2513482 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 014115400 | 05 |
Street Address |
1700 BAKER AVE |
City | HAINES CITY |
State | FL |
Zip Code | 33844-8839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912980673 | Baipidi Emily Edwards | Nurse Practitioner | 1700 Baker Ave, Haines City, FL 33844-8839 | 2005-11-26 |
1609832906 | Marieyves Edmey Antoine-laroche | Nurse Practitioner | 1700 Baker Ave, Haines City, FL 33844-8839 | 2006-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134608342 | Patricia Vogl | Counselor | 360 S. 10th Street, Suite A, Haines City, FL 33844 | 2018-08-08 |
1639657257 | Jessica Herring | Physical Therapist | 35902 Us-27, Haines City, FL 33844 | 2018-08-06 |
1366896482 | Jovita Moise-brown | Custodial Care Facility | 2411 Dorado Ave, Haines City, FL 33844 | 2016-04-14 |
1730564170 | Maria Dolores Jimenez | Social Worker | 9024 Orange Blossom Loop, Haines City, FL 33844 | 2015-07-28 |
1346565819 | Elaine Carol Weinstein | Respiratory Therapist, Registered | 330 10th Street South, Haines City, FL 33844 | 2010-03-29 |
1194999813 | Janice Ramos Colon | General Practice | 502 E Hinson Ave, Haines City, FL 33844 | 2008-04-14 |
1225151913 | Erika Selga Grimes | Specialist/Technologist | 262 Paradise Island Dr, Haines City, FL 33844 | 2007-04-09 |
1912034265 | Xtra Discount Drugs Hc | Pharmacy | 401 East Hinson Ave, Haines City, FL 33844 | 2007-02-27 |
1689727562 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 19 North 6th Street, Suite A, Haines City, FL 33844 | 2007-01-22 |
1194898841 | Jeffrey S Smith | Chiropractor | 101 S 10th Street, Haines City, FL 33844 | 2006-11-17 |
Find all providers in zip 33844 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
Find all providers with the same taxonomy |
City | HAINES CITY |
Zip Code | 33844 |
Please comment or provide details below to improve the information on MRS. MARY KATHRYN ELLERMEYER-STAPLETON.
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.