DESREEN E BENNETT-BLAKE (NPI# 1831168558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831168558 |
| Entity Type | Individual |
| Full Name | DESREEN E BENNETT-BLAKE |
| Credential | A.R.N.P. |
| Practice Address |
7205 S George Blvd Sebring FL 33875-5847 |
| Practice Telephone | 8633866040 |
| Practice Fax Number | 8633866048 |
| Mailing Telephone | 8633866040 |
| Mailing Fax Number | 8633866048 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2008-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP2036402 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ARNP LICENSE | ARNP2036402 | 01 |
| FL | 301858500 | 05 |
| Street Address |
7205 S GEORGE BLVD |
| City | SEBRING |
| State | FL |
| Zip Code | 33875-5847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659344620 | Florida Department of Health | Public Health or Welfare | 7205 S George Blvd, Sebring, FL 33875-5847 | 2006-02-09 |
| 1386242766 | Danielle Marie Frazier | Licensed Practical Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2020-10-16 |
| 1689271959 | Jacqueline Stiles Stimson | Registered Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2020-10-08 |
| 1568086841 | Andrea Desantiago | Registered Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2020-06-03 |
| 1093351546 | Crystal Oliveros | Licensed Practical Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2019-11-20 |
| 1578104295 | Kristina Anne Wilson | Registered Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2019-10-03 |
| 1033766951 | Sheila Mae Hubenka | Registered Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2019-08-26 |
| 1639644073 | Beatriz Anton Manus | Licensed Practical Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2018-10-12 |
| 1154896587 | Rebecca M Farias | Licensed Practical Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2018-10-12 |
| 1407321516 | Laurie A Hernandez | Registered Nurse | 7205 S George Blvd, Sebring, FL 33875-5847 | 2018-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295712313 | Keith A Bowyer Jr. | Physical Therapist | 100 Ymca Ln, Sebring, FL 33875-4352 | 2005-12-29 |
| 1720168925 | Gayle H Yeager | Occupational Therapist | 100 Ymca Ln, Sebring, FL 33875-4352 | 2006-10-16 |
| 1649209362 | Bowyer Physical Therapy Inc | Physical Therapist | 100 Ymca Ln, Sebring, FL 33875-4352 | 2006-07-03 |
| 1205046489 | Barbara Marion Marcy | Registered Nurse | 4100 Grass Ave, Sebring, FL 33875-4468 | 2007-05-23 |
| 1013451160 | Transitions Now LLC | In Home Supportive Care | 3613 Westminster Rd, Sebring, FL 33875-4604 | 2016-12-08 |
| 1386901338 | Marian Turner | Marriage & Family Therapist | 2653 Sandy Loam Ct, Sebring, FL 33875-4711 | 2012-04-16 |
| 1427001502 | Juan Pio Ros Carretero | Anesthesiology | 2820 Briarwood Ln, Sebring, FL 33875-4760 | 2006-05-18 |
| 1386117331 | Highlands Anesthesia LLC | Anesthesiology | 2820 Briarwood Ln, Sebring, FL 33875-4760 | 2019-01-02 |
| 1073096947 | Raisa Anette Ramos- Arroyo | Nurse Anesthetist, Certified Registered | 2820 Briarwood Ln, Sebring, FL 33875-4760 | 2018-09-07 |
| 1700368057 | Luiset Gonzalez Andujar | Nurse Anesthetist, Certified Registered | 2820 Briarwood Ln, Sebring, FL 33875-4760 | 2018-09-04 |
| Find all providers in zip 33875 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592134 | Rachel Sims | Nurse Practitioner | 4759 Lakeview Dr Ste 101, Sebring, FL 33870-2005 | 2017-07-27 |
| 1558509612 | Hannah Hosrom Campbell | Nurse Practitioner | 130 Medical Center Ave., Sebring, FL 33870 | 2009-01-28 |
| 1992908776 | Joyce Marie Rackauskis-anderson | Nurse Practitioner | 2561 Us Highway 27 S, Sebring, FL 33870-2125 | 2007-06-07 |
| 1174571525 | Cheryl Ann Carter | Nurse Practitioner | 3420 Us Highway 27 N, Sebring, FL 33870-1637 | 2006-05-05 |
| 1588206452 | Anai Cervera | Nurse Practitioner | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2019-10-12 |
| 1841795390 | Olga Kalantyreva | Nurse Practitioner | 3600 S Highlands Ave, Sebring, FL 33870-5416 | 2018-03-27 |
| 1952810186 | Shelby Jones | Nurse Practitioner | 3581 S Highlands Ave, Sebring, FL 33870-5410 | 2017-09-20 |
| 1275052078 | Laura Ann Atallah | Nurse Practitioner | 3200 Medical Way, Sebring, FL 33870-2805 | 2017-09-12 |
| 1982130928 | Herman Brace Deresma | Nurse Practitioner | 4421 Sun N Lake Blvd Ste B, Sebring, FL 33872 | 2017-05-11 |
| 1376082545 | Patricia Darlene Parker | Nurse Practitioner | 6325 Us Highway 27 N, Suite 201, Sebring, FL 33870-8226 | 2017-02-21 |
| Find all providers in SEBRING | ||||
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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.