KASIE HAZEN (NPI# 1912440850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912440850 |
Entity Type | Individual |
Full Name | KASIE HAZEN |
Credential | ARNP |
Practice Address |
19021 N Dale Mabry Hwy Lutz FL 33548-4982 |
Mailing Address |
2191 9th Ave N Ste 110 St Petersburg FL 33713-7147 |
Practice Telephone | 8139615201 |
Practice Fax Number | 8133771685 |
Mailing Telephone | 7278207778 |
Mailing Fax Number | 7278207779 |
Enumeration Date | 2016-11-27 |
Last Update Date | 2020-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9350294 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
19021 N DALE MABRY HWY |
City | LUTZ |
State | FL |
Zip Code | 33548-4982 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740248384 | James A Sotrop | Family Medicine | 19021 N Dale Mabry Hwy, Lutz, FL 33548-4982 | 2006-05-03 |
1750847976 | Leah Marie Terry | Nurse Practitioner | 19021 N Dale Mabry Hwy, Lutz, FL 33548 | 2019-02-12 |
1588932081 | James A Sotrop Md Pa | Nurse Practitioner | 19021 N Dale Mabry Hwy, Lutz, FL 33548-4982 | 2011-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205337821 | Chiros On 54 LLC | Chiropractor | 1003 N Dale Mabry Hwy, Lutz, FL 33548 | 2018-02-28 |
1295233666 | Issac M Arroyo | Behavior Technician | 18288 Us 41, Lutz, FL 33548 | 2018-01-31 |
1699293225 | Lettuce Lake Emergency Physicians LLC | Physician Assistant | 1430 Dale Mabry Highway, Lutz, FL 33548 | 2017-09-04 |
1780010512 | Yanina Abaunza-fiallos Md Pa | Pediatrics | 17541 N. Dale Mabry Hwy., Lutz, FL 33548 | 2013-09-25 |
1891138459 | Atlas Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 3859 Van Dyke Rd, Suite 161, Lutz, FL 33548 | 2013-04-14 |
1407122492 | Tania Isabel Mendoza | Pathology | 19045 N Dale Mabry Hwy, Lutz, FL 33548 | 2012-03-24 |
1528362944 | Life Discovery Counseling Center | Counselor | 18371 Exciting Idlewild Blvd, Lutz, FL 33548 | 2010-12-28 |
1356643423 | Heidi Jane Pickering | Chiropractor | 19011 N Dale Mabry, Lutz, FL 33548 | 2010-11-23 |
1992015762 | Yolanda R. Harper | Social Worker | 1527 Dale Mabry Hwy Ste 103, Lutz, FL 33548 | 2010-10-14 |
1821231846 | Michael Lee Bishop | Psychologist | 18958 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 | 2009-04-07 |
Find all providers in zip 33548 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
1801406194 | Victoria Gonzalez | Nurse Practitioner | 18249 Clear Lake Dr, Lutz, FL 33548-6436 | 2020-08-03 |
1740808385 | Jesus Ivan Gonzalez Batista | Nurse Practitioner | 22628 Royal Ridge Ct, Lutz, FL 33549-8781 | 2020-07-09 |
1992336440 | Linda Marie Unger | Nurse Practitioner | 2077 Wetland Pt Unit 1201, Lutz, FL 33558-5463 | 2020-02-03 |
1629626718 | Amy Marie Algood | Nurse Practitioner | 2507 Chateau Dr, Lutz, FL 33559-4006 | 2019-08-31 |
1649837352 | Alycia Buford Boudreau | Nurse Practitioner | 19605 Morden Blush Dr, Lutz, FL 33558-9087 | 2019-05-29 |
1962982207 | Azeezat Fashola | Nurse Practitioner | 18956 N Dale Mabry Hwy Ste 102, Lutz, FL 33548-4915 | 2018-08-16 |
1316424153 | Melissa Rae Waller | Nurse Practitioner | 1860 Bearberry Cir Apt 208, Lutz, FL 33559-8778 | 2018-07-24 |
1235621806 | Eliana Hicks | Nurse Practitioner | 2404 Towery Trl, Lutz, FL 33549-3779 | 2018-05-30 |
1831643485 | Jennifer Childers | Nurse Practitioner | 24229 Lakerush Ct, Lutz, FL 33559-7330 | 2016-08-11 |
Find all providers in LUTZ |
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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.