MS. REBECCA JANE SHYTLE (NPI# 1730390253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730390253 |
Entity Type | Individual |
Full Name | MS. REBECCA JANE SHYTLE |
Credential | APRN |
Practice Address |
1938 Soule Rd Clearwater FL 33759-1507 |
Practice Telephone | 7277267442 |
Practice Fax Number | 7272881111 |
Mailing Telephone | 7277267442 |
Mailing Fax Number | 7272881111 |
Enumeration Date | 2007-05-25 |
Last Update Date | 2020-05-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9190579 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 768338300 | 05 | |
FL | AETNA | 4812791 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4024 Central Ave, St Petersburg, FL 337111239 | 7273277656 | 7273238978 |
Street Address |
1938 SOULE RD |
City | CLEARWATER |
State | FL |
Zip Code | 33759-1507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609832203 | Joseph I Adan | Psychiatry & Neurology | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2006-04-22 |
1710596358 | Jennifer Holman | Registered Nurse | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2020-07-29 |
1336614114 | Naoko Hurvitz | Nurse Practitioner | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2018-10-09 |
1184063158 | Kristina Markonios Ramos | Nurse Practitioner | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2013-06-22 |
1639451263 | Meena K Shah | Psychiatry & Neurology | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2011-09-09 |
1356643142 | Robert S Rosen Phd Pa | Psychologist | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2010-11-30 |
1114245792 | Bart A Downs | Counselor | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2010-05-06 |
1821247255 | Patricia I Requena | Counselor | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2008-09-10 |
1285894980 | Harold Ray Petry II | Counselor | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2008-06-16 |
1669655148 | Deborah L. Pierce, Arnp, Pa | Nurse Practitioner | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2007-12-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
Find all providers in zip 33759 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518311653 | Svg Mental Health Solutions Pllc | Nurse Practitioner | 806 Harbor Is, Clearwater, FL 33767-1806 | 2016-04-14 |
1477563419 | Amy Ballou | Nurse Practitioner | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2006-08-09 |
1134761802 | Cynthia Vance Morris | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-10-14 |
1609426378 | Maurice Foster | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-09-16 |
1144880980 | Cassandra Beck | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-06-14 |
1336614114 | Naoko Hurvitz | Nurse Practitioner | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2018-10-09 |
1255819900 | Joshua Drew Barnes | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2018-08-04 |
1326547985 | Gwendolyn Newton | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2018-02-08 |
1962925446 | Stephanie Stuart | Nurse Practitioner | 14400 49th St N, Clearwater, FL 33762-2890 | 2017-07-17 |
1407204704 | Jacqulyn Yackel | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2016-05-26 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33759 |
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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.