MS. BROOKE LIVELY FISHER (NPI# 1710497490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710497490 |
| Entity Type | Individual |
| Full Name | MS. BROOKE LIVELY FISHER |
| Credential | APRN |
| Practice Address |
800 N Maitland Ave Ste 102 Maitland FL 32751-4499 |
| Practice Telephone | 4076607000 |
| Practice Fax Number | 4076607106 |
| Mailing Telephone | 4076607000 |
| Mailing Fax Number | 4076607106 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9296990 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN9296990 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022656000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 92 W. Miller St Pediatric Nephrology, Orlando, FL 32806 | 3218417970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700123783 | Brooke A Fisher | Nurse's Aide | 12366 W Nevada Pl Apt 107, Lakewood, CO 80228-3228 | 2013-01-10 |
| 1780218768 | Brooke Fisher | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-02-27 |
| 1497217954 | Brooke Fisher | Speech-Language Pathologist | 9000 N Rodney Parham Rd, Little Rock, AR 72205-1646 | 2019-04-03 |
| Street Address |
800 N MAITLAND AVE STE 102 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-4499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968617 | Jennifer S. Thielhelm | Pediatrics | 800 N Maitland Ave Ste 102, Maitland, FL 32751-4499 | 2005-10-31 |
| 1215019856 | Andrew G Summers | Pediatrics | 800 N Maitland Ave Ste 102, Maitland, FL 32751-4499 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212223 | Amanda Roberts | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2020-07-13 |
| 1285168062 | Carrollann Bailey | Nurse Practitioner | 210 Lookout Pl, Maitland, FL 32751-4491 | 2017-04-18 |
| 1821461476 | Alicia Gomrad | Nurse Practitioner | 210 Lookout Pl, Maitland, FL 32751-4491 | 2015-11-04 |
| 1053781021 | Maryphyllis Crean | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2015-10-02 |
| 1265816250 | Cori Thompson | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2015-07-20 |
| 1508181686 | Teresa Perrault | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| 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.