NUMRA YAQUB (NPI# 1750942744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750942744 |
| Entity Type | Individual |
| Full Name | NUMRA YAQUB |
| Practice Address |
15901 Bass Rd Ste 108 Fort Myers FL 33908-3838 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393436050 |
| Practice Fax Number | 2393436051 |
| Mailing Telephone | 2393436050 |
| Mailing Fax Number | 2393436051 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH16889 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 105825700 | 05 |
| Street Address |
15901 BASS RD STE 108 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497847529 | Elena Zerpa Stolk | Psychiatry & Neurology | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2006-09-28 |
| 1790339786 | Lashunda F Watkins | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2019-07-29 |
| 1386102275 | Jennifer Massip | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2019-03-09 |
| 1093291833 | Nancy J Stetter | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2018-07-16 |
| 1093223638 | Lemetrice Dewand Mcclendon | Nurse Practitioner | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2018-01-17 |
| 1366966335 | Siddika Saara Mulchan | Psychologist | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2017-08-01 |
| 1275914111 | Diego Fernando Gomez | Counselor | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2015-06-16 |
| 1104211630 | Sophia French | Psychiatry & Neurology | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2015-04-01 |
| 1215330832 | Kaleesha Bent | Marriage & Family Therapist | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2014-09-28 |
| 1518384007 | Colleen Martens | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413305 | Shantell Pepe | Counselor | 4310 Metro Pkwy Ste 200, Fort Myers, FL 33916-9462 | 2020-09-29 |
| 1548879091 | Linda Ann Weaver | Counselor | 12811 Kenwood Ln Ste 202-213, Fort Myers, FL 33907-5667 | 2020-07-29 |
| 1710502166 | Cornerstone Consultants | Counselor | 1344 Bradford Rd, Fort Myers, FL 33901-8804 | 2020-06-11 |
| 1053935981 | Timothy D Solomon | Counselor | 12557 New Brittany Blvd Ste 31-2, Fort Myers, FL 33907-3651 | 2020-06-06 |
| 1487275418 | Hofmann Counseling and Consulting, LLC. | Counselor | 8925 Beacon Street, Fort Myers, FL 33907-3390 | 2020-04-30 |
| 1760002927 | Angela Maria Molina | Counselor | 11932 Fairway Lakes Dr, Fort Myers, FL 33913-8337 | 2020-04-17 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1710512454 | Kelleen Marguerite Linden | Counselor | 12670 New Brittany Blvd Ste 204, Fort Myers, FL 33907-3650 | 2020-03-03 |
| 1194369355 | Mary Alice Robinson | Counselor | 4531 Deleon St Ste 206, Fort Myers, FL 33907-1280 | 2019-10-31 |
| 1942855580 | Susan Lee Bobrow | Counselor | 3049 Cleveland Ave Ste 295, Fort Myers, FL 33901-7054 | 2019-08-08 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on NUMRA YAQUB.
| 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.