MS. TATIYANA ANISIMOVA (NPI# 1770118259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770118259 |
| Entity Type | Individual |
| Full Name | MS. TATIYANA ANISIMOVA |
| Practice Address |
2605 Casa Dr New Port Richey FL 34655-2235 |
| Mailing Address |
7840 Putnam Cir New Port Richey FL 34655-2739 |
| Practice Telephone | 3045508040 |
| Mailing Telephone | 8135985058 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
FL | Nursing Service Related Providers |
| Street Address |
2605 CASA DR |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34655-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669205 | Rosa I Mendez | Technician | 3528 Blayton St, New Port Richey, FL 34652-6208 | 2019-09-30 |
| 1821649815 | Lorreta Watson | Technician | 7521 Mitchell Ranch Rd, New Port Richey, FL 34655-3237 | 2019-09-23 |
| 1255981387 | Shirley Scaturro | Technician | 9530 Conservation Dr, New Port Richey, FL 34655-6020 | 2019-09-20 |
| 1609425487 | Donna Pullen | Technician | 5005 Brookside Ln, New Port Richey, FL 34653-4831 | 2019-09-05 |
| 1194373407 | Patricia Montagna | Technician | 1363 Haverhill Dr, New Port Richey, FL 34655-4236 | 2019-08-29 |
| 1922656487 | Shirley Ann Doyle | Technician | 8034 Bull Run Dr, New Port Richey, FL 34653-2331 | 2019-08-28 |
| 1215585070 | Mary Mccall Miller | Technician | 9436 Sacramento Dr, New Port Richey, FL 34655-1619 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388801 | Tara Danielle Burgett | Technician | 6437 Maddox Rd, Milton, FL 32570-6327 | 2020-08-26 |
| 1932711678 | Julie Jayne Christofferson | Technician | 4009 Deerwood Cir, Pace, FL 32571-1108 | 2020-08-22 |
| 1386252062 | Rosa M Stephens | Technician | 6002 Vel St, Wimauma, FL 33598-3021 | 2020-07-17 |
| 1487279121 | Michelle Hill | Technician | 75 N Gulf Ave, Crystal River, FL 34429-7611 | 2020-06-09 |
| 1487278628 | Marcia Marie Long | Technician | 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504 | 2020-06-03 |
| 1740802289 | Anna Marie Cruttenden | Technician | 4336 Sablan Ln, Milton, FL 32583-2470 | 2020-05-06 |
| 1619597507 | Lula Curry | Technician | 106 W Jersey Ave, Brandon, FL 33510-3130 | 2020-04-21 |
| 1447879721 | Bretton Hill | Technician | 1227 Rolling Stone Run, Odessa, FL 33556-6040 | 2020-04-16 |
| 1770119653 | Stephanie J Crenshaw | Technician | 2154 Waseca Ln, Leesburg, FL 34748-3059 | 2020-03-23 |
| 1730712555 | Rashel L Haddix | Technician | 2009 Long Round Bay Rd, Bonifay, FL 32425-7135 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34655 |
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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.