MRS. STEPHANIE MARIE RUANGSOMBOON (NPI# 1790160463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790160463 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE MARIE RUANGSOMBOON |
| Other Name | MS. STEPHANIE MARIE DEWBERRY |
| Credential | APRN |
| Practice Address |
1100 Nw 95th St Miami FL 33150-2038 |
| Practice Telephone | 3058356191 |
| Mailing Telephone | 3058356191 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9320070 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2951 Nw 49th Ave, Suite 202, Lauderdale Lakes, FL 333131600 | 9544861250 |
| Street Address |
1100 NW 95TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33150-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266059 | Daysi Fardales | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2005-06-21 |
| 1215537378 | Garline Bassette | Registered Nurse | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-10-28 |
| 1285250456 | Li Zhang | Pharmacist | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-06-23 |
| 1427670397 | North Shore Medical Center, Inc. | Medicare Defined Swing Bed Unit | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-05-13 |
| 1740801760 | Rosemanie Baptiste | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-04-30 |
| 1306482658 | Marlon Medina | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-11-21 |
| 1811544331 | Yuritza Medina | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-08-20 |
| 1972065597 | Alice Jean-charles | Registered Nurse | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-04-02 |
| 1831663681 | Atlantic Anesthesia Group One Pllc | Nurse Anesthetist, Certified Registered | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-01-15 |
| 1265909998 | Jorge Luis Morales | Nurse Anesthetist, Certified Registered | 1100 Nw 95th St, Miami, FL 33150-2038 | 2018-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1912508193 | Tania Maria Franco | Nurse Practitioner | 848 Ne 81st St, Miami, FL 33138-4630 | 2020-11-04 |
| 1578164794 | Kathryn Elizabeth Watson | Nurse Practitioner | 8000 Sw 96th St, Miami, FL 33156-7422 | 2020-11-04 |
| 1316548811 | Fernando Andres Aguilera | Nurse Practitioner | 3100 Sw 62nd Ave # 124, Miami, FL 33155-3009 | 2020-11-03 |
| 1396346995 | Lauren Vine Redondo | Nurse Practitioner | 7648 Sw 105th Pl, Miami, FL 33173-2931 | 2020-11-02 |
| 1104426766 | Yosen Rodriguez Jimenez | Nurse Practitioner | 2380 Sw 131st Ct, Miami, FL 33175-1157 | 2020-10-31 |
| 1871193755 | Yolanda Justal | Nurse Practitioner | 325 Nw 108th Ter, Miami, FL 33168-3230 | 2020-10-29 |
| 1467051003 | Raiseline De La Caridad Casanova Mederos | Nurse Practitioner | 120 Nw 49th St, Miami, FL 33127-2109 | 2020-10-24 |
| 1518566132 | Mileydis Curbelo | Nurse Practitioner | 15285 Sw 88th Ter, Miami, FL 33196-1462 | 2020-10-23 |
| Find all providers in MIAMI | ||||
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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.