MARY M BROCK (NPI# 1902051014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902051014 |
| Entity Type | Individual |
| Full Name | MARY M BROCK |
| Credential | R.N. |
| Practice Address |
1126 Lee Ave Tallahassee FL 32303-6508 |
| Practice Telephone | 8504887935 |
| Practice Fax Number | 8504880918 |
| Mailing Telephone | 8504887935 |
| Mailing Fax Number | 8504880918 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN9245805 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174069769 | Mary Arminda Brock | Assistant Behavior Analyst | 4400 W Main St Trlr 116, Norman, OK 73072-4302 | 2017-01-06 |
| 1851773865 | Mary Guion Brock | Nurse Practitioner | 124 Bonnybridge Ct, Ellisville, MO 63021-4507 | 2015-06-25 |
| 1295207066 | Mary Lee Brock | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2018-12-18 |
| 1518493675 | Mary Ann Brock | Counselor | 825 Oak Grove Ave, D202, Menlo Park, CA 94025-4434 | 2017-05-11 |
| 1003362161 | Mary Brock | Nurse Practitioner | 447 Mcalister Rd, Ste 2400, Lincolnton, NC 28092-4114 | 2016-08-29 |
| 1790025773 | Mary Louise Brock | Pharmacist | 24165 W Interstate 10, 300, San Antonio, TX 78257-1159 | 2013-02-27 |
| 1083684450 | Mary Gail Brock | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-01-26 |
| Street Address |
1126 LEE AVE |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32303-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851365019 | Tallahassee Pediatric Foundation, Inc. | Case Management | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2006-02-15 |
| 1346858453 | Kathryn Doles | Social Worker | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2020-07-15 |
| 1336766146 | Ebony Tenisha Greene | Counselor | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2020-06-26 |
| 1962047779 | A'laina Newbold | Social Worker | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2019-11-15 |
| 1598300907 | Keyunda Washington | Counselor | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2019-11-08 |
| 1528450467 | Magnolia Hood | Counselor | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2015-03-02 |
| 1770983843 | Angela Blount | Counselor | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2014-08-26 |
| 1285969477 | Emily Beale | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2009-10-06 |
| 1447584107 | Jonita R Martin | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2009-09-29 |
| 1235371188 | Michelle A Stanisci | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2009-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
| 1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
| 1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
| 1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
| 1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
| 1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
| 1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
| 1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
| 1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
| 1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
| Find all providers in zip 32303 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285969477 | Emily Beale | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2009-10-06 |
| 1447584107 | Jonita R Martin | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2009-09-29 |
| 1235371188 | Michelle A Stanisci | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2009-03-24 |
| 1326289125 | Dusty G Sayre | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2009-03-09 |
| 1740425446 | Martha W Alexander | Registered Nurse | 1723 Mahan Center Blvd, Big Bend Hospice, Tallahassee, FL 32308-5428 | 2008-12-09 |
| 1376797712 | Paula B Cooper | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2008-11-12 |
| 1497906291 | Alyssa Anderson | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2008-10-10 |
| 1821250069 | Cheryl Cooper-oldani | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2008-06-30 |
| 1922276567 | Monica S Adkins | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2008-02-18 |
| 1437237419 | Susan Mary Meter | Registered Nurse | 1126 Lee Ave, Tallahassee, FL 32303-6508 | 2006-11-01 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32303 |
Please comment or provide details below to improve the information on MARY M BROCK.
| 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.