MR. GRETTY HERNANDEZ (NPI# 1740515758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740515758 |
| Entity Type | Individual |
| Full Name | MR. GRETTY HERNANDEZ |
| Credential | LPN |
| Practice Address |
3901 E Colonial Dr Suite E Orlando FL 32803-5245 |
| Practice Telephone | 4074475971 |
| Practice Fax Number | 4074475985 |
| Mailing Telephone | 4074475971 |
| Mailing Fax Number | 4074475985 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5169591 | FL | Nursing Service Providers |
| Street Address |
3901 E COLONIAL DR SUITE E |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-5245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470793 | Naomi Lois Adams | Pharmacist | 3901 E Colonial Dr, Suite A, Orlando, FL 32803-5245 | 2005-10-13 |
| 1922608280 | Precision Medicine and Wellness Center, LLC | Homeopath | 3901 E Colonial Dr, Orlando, FL 32803-5245 | 2020-10-27 |
| 1699204560 | Christopher Lee Lacey | Pharmacist | 3901 E Colonial Dr, Orlando, FL 32803-5245 | 2017-06-05 |
| 1346616786 | Indira Beepin Jamnadas | Pharmacist | 3901 E Colonial Dr, Orlando, FL 32803-5245 | 2015-08-20 |
| 1992932008 | Florida Ambulatory Infusion Centers, Inc. | Clinic/Center | 3901 E Colonial Dr, Suite C2, Orlando, FL 32803-5245 | 2009-06-16 |
| 1114183100 | Florida Ambulatory Infusion Centers, Inc. | Clinic/Center | 3901 E Colonial Dr, Suite C2, Orlando, FL 32803-5245 | 2008-07-30 |
| 1063689511 | Advanced Pain Clinic Pa | Anesthesiology | 3901 E Colonial Dr, Orlando, FL 32803-5245 | 2008-05-14 |
| 1043351547 | Joseph Tad Davis | Pharmacist | 3901 E Colonial Dr, Suite A, Orlando, FL 32803-5245 | 2007-02-09 |
| 1811967136 | Center for Memory Disorders, Inc. | Clinical Neuropsychologist | 3901 E Colonial Dr, Suite E, Orlando, FL 32803-5245 | 2006-01-26 |
| 1720078595 | Hhcs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 3901 E Colonial Dr, Suite 'c', Orlando, FL 32803-5245 | 2005-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871127381 | Laeticia Landais | Licensed Practical Nurse | 12001 Avalon Lake Dr Apt 316, Orlando, FL 32828-7378 | 2020-02-24 |
| 1740830348 | Marcella Latrese Young | Licensed Practical Nurse | 5604 Fair Oak Ct, Orlando, FL 32808-3430 | 2019-09-16 |
| 1326517020 | Betty Justine Vincent | Licensed Practical Nurse | 2109 Allspice Ave, Orlando, FL 32837-9514 | 2018-11-26 |
| 1871061234 | Carlos Andres Toro | Licensed Practical Nurse | 940 E Michigan St Apt B, Orlando, FL 32806-4787 | 2018-11-05 |
| 1225505316 | Julio Heredia | Licensed Practical Nurse | 7613 Daphne Ave, Orlando, FL 32812-4074 | 2018-10-27 |
| 1821575739 | Ivette Castro | Licensed Practical Nurse | 515 Villa Del Sol Cir Apt 104, Orlando, FL 32824-9461 | 2018-07-24 |
| 1912412347 | Etan Woodruff | Licensed Practical Nurse | 1627 26th St, Orlando, FL 32805-5232 | 2017-12-07 |
| 1730602012 | Kimberly S Arenburg | Licensed Practical Nurse | 2452 S. Conway Rd, Apt 337, Orlando, FL 32812 | 2017-07-19 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1861933780 | Yeamin Borrero Duran | Licensed Practical Nurse | 3318 S Semoran Blvd Apt 1, Orlando, FL 32822-3126 | 2017-03-10 |
| Find all providers in ORLANDO | ||||
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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.