MONICA ANTIGUA (NPI# 1841759255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841759255 |
Entity Type | Individual |
Full Name | MONICA ANTIGUA |
Practice Address |
2460 Old Moultrie Rd Ste 5 St Augustine FL 32086-4198 |
Mailing Address |
2460 Old Moultrie Rd Ste 2 St Augustine FL 32086-4198 |
Practice Telephone | 9047975740 |
Practice Fax Number | 9047975749 |
Mailing Telephone | 9042930299 |
Mailing Fax Number | 9047977417 |
Enumeration Date | 2019-03-15 |
Last Update Date | 2019-03-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN11000775 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ALL APPLICATIONS ARE PENDING | 000 | 01 |
Street Address |
2460 OLD MOULTRIE RD STE 5 |
City | ST AUGUSTINE |
State | FL |
Zip Code | 32086-4198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629043864 | April Turner | Family Medicine | 2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 | 2006-02-21 |
1316268311 | David Robert Skaggs | Physician Assistant | 2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 | 2010-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
Find all providers in zip 32086 |
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 |
---|---|---|---|---|
1295215531 | Vanessa Rutledge | Nurse Practitioner | 830 Copperhead Cir, St Augustine, FL 32092-2752 | 2018-08-16 |
1801394291 | Peter Richard Accorti | Nurse Practitioner | 3657 Gaines Rd, St Augustine, FL 32084-8503 | 2018-01-31 |
1033300280 | Allied Medical Professionals Inc | Nurse Practitioner | 121 Fonseca Dr, St Augustine, FL 32086-8867 | 2007-08-05 |
1942412481 | Anah Marks | Nurse Practitioner | 301 Health Park Blvd Ste 219, St Augustine, FL 32086-5795 | 2007-05-04 |
1255311528 | Judith Lynn Nichols | Nurse Practitioner | 105 Mariner Way, Ste 203, St Augustine, FL 32086 | 2006-01-20 |
1336706779 | Shawn Rene Wells | Nurse Practitioner | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2019-05-21 |
1295216414 | Ashley Baldwin Sauls | Nurse Practitioner | 419 Anastasia Blvd, St Augustine, FL 32080-4508 | 2018-08-25 |
1780161851 | Christine Moore | Nurse Practitioner | 300 Health Park Blvd Ste 5010, St Augustine, FL 32086-3705 | 2018-07-23 |
1710480900 | Christina Ellen Barr | Nurse Practitioner | 1 Saint Johns Medical Park Dr, St Augustine, FL 32086-5300 | 2018-03-14 |
1396117693 | Sonia Rae Reisdorf | Nurse Practitioner | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2015-10-26 |
Find all providers in ST AUGUSTINE |
City | ST AUGUSTINE |
Zip Code | 32086 |
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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.