NOVELLA NILES (NPI# 1750927364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750927364 |
| Entity Type | Individual |
| Full Name | NOVELLA NILES |
| Practice Address |
3900 E State Road 46 Sanford FL 32771-9115 |
| Mailing Address |
3838 N Central Ave Ste 1600 Phoenix AZ 85012-1950 |
| Practice Telephone | 3212499221 |
| Practice Fax Number | 4078780791 |
| Mailing Telephone | 8003544881 |
| Mailing Fax Number | 6029262445 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
DOE12311158 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3900 E STATE ROAD 46 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-9115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073162020 | The Galileo School Foundation, Inc. | Local Education Agency (LEA) | 3900 E State Road 46, Sanford, FL 32771-9115 | 2019-09-11 |
| 1962047001 | Jennifer Donnan | Registered Nurse | 3900 E State Road 46, Sanford, FL 32771-9115 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215482690 | Melanie Hannan | Psychologist | 4960 Shoreline Cir, Sanford, FL 32771-7129 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980884 | Gihanna Barbara Jimenez | Psychologist | 7301 Sw 57th Ct Ste 565, South Miami, FL 33143-5334 | 2020-10-20 |
| 1326645177 | Sheila Simchon | Psychologist | 3601 N Park Rd, Hollywood, FL 33021-2529 | 2020-10-05 |
| 1821602145 | Tamara Shirley | Psychologist | 20755 Sw 86th Pl, Cutler Bay, FL 33189-3841 | 2020-09-03 |
| 1194339994 | Jenny Gamble | Psychologist | 33 Knight Boxx Rd # 2, Orange Park, FL 32065-7305 | 2020-08-31 |
| 1154934826 | Joseph Ronald Sura | Psychologist | 154 Cunningham Ln, Big Pine Key, FL 33043-4837 | 2020-08-24 |
| 1871105858 | Bette Dale Garner | Psychologist | 690 Osceola Ave Apt 404, Winter Park, FL 32789-4408 | 2020-08-20 |
| 1528679156 | Brittany Ubaldini-simon | Psychologist | 8505 Bella Way, Tampa, FL 33635-6005 | 2020-08-17 |
| 1710598263 | Ramon Delgado Jr. | Psychologist | 10376 Nw 3rd St, Plantation, FL 33324-1702 | 2020-08-10 |
| 1588274047 | Kristen Rave | Psychologist | 3223 E Community Dr, Jupiter, FL 33458-8217 | 2020-08-08 |
| 1194334623 | Andrea Latimer | Psychologist | 30953 Water Lily Dr, Brooksville, FL 34602-7740 | 2020-07-30 |
| 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.