LEDA HANSEN (NPI# 1790347979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790347979 |
Entity Type | Individual |
Full Name | LEDA HANSEN |
Practice Address |
3625 University Blvd S Jacksonville FL 32216-4207 |
Mailing Address |
1431 Centerpoint Blvd Ste 100 Knoxville TN 37932-1983 |
Practice Telephone | 9047026089 |
Mailing Telephone | 8659857053 |
Mailing Fax Number | 8652913634 |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
000000 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3625 UNIVERSITY BLVD S |
City | JACKSONVILLE |
State | FL |
Zip Code | 32216-4207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588664395 | Karen Elizabeth Anderson | Anesthesiology | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2005-07-22 |
1174122071 | Deleah Rene Pickler | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2020-10-21 |
1801401641 | Kara N Cordova | Nurse Anesthetist, Certified Registered | 3625 University Blvd S, Jacksonville, FL 32216-4222 | 2020-09-09 |
1174153654 | Marina Follick | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2020-01-23 |
1649818337 | Sarah Chapman Farris | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-12-13 |
1487291837 | Lee Willingham | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-12-04 |
1609411586 | Kyle Steven Scott | Nurse Anesthetist, Certified Registered | 3625 University Blvd S, Jacksonville, FL 32216-4222 | 2019-11-14 |
1982246328 | Amy Marie Suralis | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-10-16 |
1396391991 | Sarah Siebrandt | Occupational Therapist | 3625 University Blvd S, Jacksonville, FL 32216-4222 | 2019-08-11 |
1881256428 | Ashleigh Trapuzzano | Physical Therapist | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-07-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
Find all providers in zip 32216 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
1265917124 | Sandra Jayussi | Nurse Practitioner | 7406 Fullerton Ave, Jacksonville, FL 32256 | 2018-09-26 |
1427563980 | William Phillips | Nurse Practitioner | 1325 San Marco Blvd Bldg Suite300, Jacksonville, FL 32207-8568 | 2017-12-06 |
1366977902 | Annette Faulkner Wall | Nurse Practitioner | 14601 Swansea Ct, Jacksonville, FL 32258-4446 | 2017-04-20 |
1730457565 | Tressie Brooks | Nurse Practitioner | 4203 Belfort Rd Ste 108, Jacksonville, FL 32216-1411 | 2011-12-07 |
1346563129 | Brooke Leigh Mcduffie | Nurse Practitioner | 3115 Spring Glen Rd, Suite 505, Jacksonville, FL 32207-5978 | 2010-03-08 |
1558536490 | Jacquelyn Danette Cannon | Nurse Practitioner | 1200 Riverplace Blvd 620, Jacksonville, FL 32207-1803 | 2008-04-22 |
1003969627 | Mike J Primeaux | Nurse Practitioner | 10601 San Jose Blvd Ste 208, Jacksonville, FL 32257-8203 | 2007-01-18 |
1700819372 | Paula F New | Nurse Practitioner | 3221 Henderson Dr, Jacksonville, NC 28546-5251 | 2006-07-08 |
1114972841 | Roxanna A Mcdonald | Nurse Practitioner | 1947 Morningside St, Jacksonville, FL 32205-9390 | 2006-05-23 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32216 |
Please comment or provide details below to improve the information on LEDA HANSEN.
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.