DR. DOROTHIE SCANDY DUROSIER MERTILUS (NPI# 1710416979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710416979 |
| Entity Type | Individual |
| Full Name | DR. DOROTHIE SCANDY DUROSIER MERTILUS |
| Practice Address |
12902 Usf Magnolia Dr Tampa FL 33612-9416 |
| Mailing Address |
3508 Jefferson Commons Dr Apt 101a Tampa FL 33613-6415 |
| Practice Telephone | 8137454673 |
| Mailing Telephone | 2392655044 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9370705 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9370705 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9370705 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12902 USF MAGNOLIA DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475158 | Jose Leonel Ochoa-bayona | Internal Medicine | 12902 Usf Magnolia Dr, Fob 3 Bmt, Tampa, FL 33612-9416 | 2005-05-27 |
| 1134735285 | Edith Abraham | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-23 |
| 1134735442 | Lindsay Garcia | Dietitian, Registered | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-22 |
| 1972117026 | Charsetta Denise Campbell | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-06 |
| 1083228480 | Mary Thisbe Quilab | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-02 |
| 1336758788 | Gabriella Anne Acosta | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-07-30 |
| 1861010670 | Sidney Marie Resmondo | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-07-08 |
| 1912523481 | Timothy Bondell | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-22 |
| 1891319075 | Melanie Marie Fyfe | Clinical Nurse Specialist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-03 |
| 1780208876 | Jacqueline Nicole Arrison | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932717998 | Anabel Jimenez | Nurse Practitioner | 4221 W Spruce St Apt 2320, Tampa, FL 33607-7253 | 2020-07-16 |
| 1972150050 | Rebecca Rose Amos | Nurse Practitioner | 10631 Parkers Landing Dr Apt 331, Tampa, FL 33615-5838 | 2019-08-22 |
| 1528615184 | Kathleen Smith | Nurse Practitioner | 601 Channelside Walk Way Apt 1438, Tampa, FL 33602-6741 | 2019-08-19 |
| 1962927723 | Mobile Medical Care | Nurse Practitioner | 11671 Declaration Drive, Tampa, FL 33635 | 2017-08-13 |
| 1972986941 | Eland Health Careers Training & Exam Prep LLC | Nurse Practitioner | 1441 E Fletcher Ave Ste 221b, Tampa, FL 33612-8808 | 2015-07-08 |
| 1467796128 | Diane Regina Jackson | Nurse Practitioner | 1248 E Hillsborough Ave, 221, Tampa, FL 33604-7201 | 2012-11-19 |
| 1043474869 | Malini P Mcdonald | Nurse Practitioner | 2901 W Hillsborough Ave, Suite # C, Tampa, FL 33614-6054 | 2008-07-10 |
| 1053424945 | Susan S Bingham | Nurse Practitioner | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2006-08-16 |
| 1003425232 | Sara Elizabeth Graves | Nurse Practitioner | 5106 N Armenia Ave Ste 1, Tampa, FL 33603-1433 | 2020-07-23 |
| 1912523481 | Timothy Bondell | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-22 |
| Find all providers in TAMPA | ||||
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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.