SOUTHEASTERN INTEGREATED MEDICAL P.L. (NPI# 1891037495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891037495 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN INTEGREATED MEDICAL P.L. |
| Practice Address |
1315 N W 21st Ave Suite 2 Chiefland FL 32626 |
| Mailing Address |
3700 Windmeadows Blvd Apt 77 Gainesville FL 32608 |
| Practice Telephone | 3524931741 |
| Practice Fax Number | 3524908641 |
| Mailing Telephone | 3522756562 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | MS. CINDY A PREVATT (DIVISION MANAGER) |
| Authorized Official Telephone | 3522242370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9299250 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1315 N W 21ST AVE SUITE 2 |
| City | CHIEFLAND |
| State | FL |
| Zip Code | 32626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841700507 | North Florida Pediatrics | Pediatrics | North Florida Pediatrics, 2220 North Young Blvd, Chiefland, FL 32626 | 2017-10-09 |
| 1497129027 | Sheryl Burkejones | Nurse Practitioner | 425 N Main Street, Suite 1 and 2, Chiefland, FL 32626 | 2015-11-19 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1770975617 | Nilger Malpartida Md. | Pediatrics | 714 West Park Ave, Chiefland, FL 32626 | 2015-03-02 |
| 1023216579 | Sheree Lynne Wiseley | Massage Therapist | 8671 Nw 55th Ave, Chiefland, FL 32626 | 2007-07-06 |
| 1356558431 | Angela Luke | Speech-Language Pathologist | 2202 North Main Street, Chiefland, FL 32626 | 2007-05-17 |
| 1689626582 | Richard W. Wagner | Optometrist | 218 N Main St (us 19), Chiefland, FL 32626 | 2006-05-17 |
| 1477047405 | Karen Dawn Zak | Nurse Practitioner | 410 N Main St Ste 1and2, Chiefland, FL 32626 | 2018-06-22 |
| 1538524285 | Laura Petersen | Nurse Practitioner | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-12-23 |
| 1972623742 | Carneice Latrell Bowers | Pharmacy Technician | 2202 N Young Blvd, #300, Chiefland, FL 32626 | 2007-03-29 |
| Find all providers in zip 32626 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497129027 | Sheryl Burkejones | Nurse Practitioner | 425 N Main Street, Suite 1 and 2, Chiefland, FL 32626 | 2015-11-19 |
| 1477047405 | Karen Dawn Zak | Nurse Practitioner | 410 N Main St Ste 1and2, Chiefland, FL 32626 | 2018-06-22 |
| 1235586231 | Vera E Brecken-marquis | Nurse Practitioner | 1315 Nw 21st Ave, Chiefland, FL 32626-1978 | 2016-05-19 |
| 1578705224 | Danny Arthur Brooks | Nurse Practitioner | 1315 Nw 21st Ave, Suite 1, Chiefland, FL 32626-1977 | 2009-03-26 |
| 1881839116 | Lynsey A. Johnson | Nurse Practitioner | 410 N Main St Ste 1and2, Chiefland, FL 32626-0866 | 2008-12-16 |
| 1629250170 | Beth W Dickey | Nurse Practitioner | 1315 Nw 21st Ave, Suite 1, Chiefland, FL 32626-1977 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.