ETAN WOODRUFF (NPI# 1912412347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912412347 |
| Entity Type | Individual |
| Full Name | ETAN WOODRUFF |
| Credential | LPN |
| Practice Address |
1627 26th St Orlando FL 32805-5232 |
| Practice Telephone | 4078328346 |
| Mailing Telephone | 4078328346 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5147285 | FL | Nursing Service Providers |
| Street Address |
1627 26TH ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32805-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797677 | Gerardo Carlos Dorado | Rehabilitation Hospital | 830 29th Street, Orlando, FL 32805 | 2019-12-18 |
| 1639731557 | Relyancecorp | Non-emergency Medical Transport (VAN) | 15 N Tanpa Ave, Orlando, FL 32805 | 2019-07-01 |
| 1518477231 | Evolution Insight Incorporated | Community/Behavioral Health | 1521 W Washington St, Orlando, FL 32805 | 2017-10-08 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1407238033 | Vickie Marie Ferguson | Social Worker | 3700 34th St Ste 100f, Orlando, FL 32805 | 2015-06-19 |
| 1508248287 | Compassionate Care Community Health Services LLC | In Home Supportive Care | 927 S. Goldwyn Ave, Suite 230, Orlando, FL 32805 | 2015-06-18 |
| 1750772612 | Rx Florida Pharmacy,llc | Pharmacist | 3615 Columbia St, Orlando, FL 32805 | 2015-02-13 |
| 1588053946 | Speech Steps | Speech-Language Pathologist | 2607 Windward Ct., Orlando, FL 32805 | 2015-01-22 |
| 1831597426 | Vonda White | Counselor | 1602 Crooms Ave., Orlando, FL 32805 | 2014-12-12 |
| 1558788653 | Laura F Lucas | Case Management | 750 S. Obt Suite 111, Orlando, FL 32805 | 2014-03-26 |
| Find all providers in zip 32805 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871127381 | Laeticia Landais | Licensed Practical Nurse | 12001 Avalon Lake Dr Apt 316, Orlando, FL 32828-7378 | 2020-02-24 |
| 1740830348 | Marcella Latrese Young | Licensed Practical Nurse | 5604 Fair Oak Ct, Orlando, FL 32808-3430 | 2019-09-16 |
| 1326517020 | Betty Justine Vincent | Licensed Practical Nurse | 2109 Allspice Ave, Orlando, FL 32837-9514 | 2018-11-26 |
| 1871061234 | Carlos Andres Toro | Licensed Practical Nurse | 940 E Michigan St Apt B, Orlando, FL 32806-4787 | 2018-11-05 |
| 1225505316 | Julio Heredia | Licensed Practical Nurse | 7613 Daphne Ave, Orlando, FL 32812-4074 | 2018-10-27 |
| 1821575739 | Ivette Castro | Licensed Practical Nurse | 515 Villa Del Sol Cir Apt 104, Orlando, FL 32824-9461 | 2018-07-24 |
| 1730602012 | Kimberly S Arenburg | Licensed Practical Nurse | 2452 S. Conway Rd, Apt 337, Orlando, FL 32812 | 2017-07-19 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1861933780 | Yeamin Borrero Duran | Licensed Practical Nurse | 3318 S Semoran Blvd Apt 1, Orlando, FL 32822-3126 | 2017-03-10 |
| 1699216747 | Dana Williams | Licensed Practical Nurse | 1801 London Crest Dr, Apt 217, Orlando, FL 32818-7004 | 2017-03-09 |
| Find all providers in ORLANDO | ||||
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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.