MRS. MARY KATHRYN ELLERMEYER-STAPLETON


Address: 1700 Baker Ave, Haines City, FL 33844-8839
Phone: 8634213204

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 014115400 05

Office Location

Street Address 1700 BAKER AVE
City HAINES CITY
State FL
Zip Code 33844-8839

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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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
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Competitor

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City HAINES CITY
Zip Code 33844

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Dataset Information

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.

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