MRS. KATHLEEN ELIZABETH TABAKA (NPI# 1922353127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922353127 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN ELIZABETH TABAKA |
| Credential | A.R.N.P. |
| Practice Address |
1507 S Hiawassee Rd Ste 105 Orlando FL 32835-5706 |
| Mailing Address |
142 Springhurst Cir Lake Mary FL 32746-4233 |
| Practice Telephone | 4074459224 |
| Mailing Telephone | 3217958381 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9272324 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1507 S HIAWASSEE RD STE 105 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932420957 | Anuj Sharma | Internal Medicine | 1507 S Hiawassee Rd Ste 105, Orlando, FL 32835 | 2010-06-14 |
| 1457829186 | Sarah Jean Harden | Nurse Practitioner | 1507 S Hiawassee Rd Ste 105, Orlando, FL 32835-5706 | 2018-11-12 |
| 1407378862 | Ultima Spine & Pain LLC | Anesthesiology | 1507 S Hiawassee Rd Ste 105, Orlando, FL 32835-5706 | 2017-07-07 |
| 1124555768 | Beth Halliburton | Nurse Practitioner | 1507 S Hiawassee Rd Ste 105, Orlando, FL 32835-5706 | 2017-05-14 |
| 1548557580 | Sandeep V Pillarisetty | Anesthesiology | 1507 S Hiawassee Rd Ste 105, Orlando, FL 32835-5706 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1962019232 | Gerda Dorce | Nurse Practitioner | 5045 Catspaw Ct, Orlando, FL 32808-5961 | 2020-09-30 |
| 1073120093 | Kailey Wickens | Nurse Practitioner | 10139 Rivers Trail Dr, Orlando, FL 32817-2884 | 2020-09-24 |
| 1528672284 | Paulette Fernandez | Nurse Practitioner | 9208 Larette Dr, Orlando, FL 32817-2618 | 2020-09-01 |
| 1225641798 | Jennifer Marie Fleitas | Nurse Practitioner | 1501 Balsam Willow Trl, Orlando, FL 32825-4469 | 2020-08-25 |
| 1730792201 | Winnie Tsang-wu | Nurse Practitioner | 11419 Chateaubriand Ave, Orlando, FL 32836-8890 | 2020-08-25 |
| 1851902548 | April Michelle Edwards | Nurse Practitioner | 2630 Babbitt Ave, Orlando, FL 32833-4023 | 2020-08-14 |
| 1417567454 | Maureen Williams | Nurse Practitioner | 2126 Great Falls Way, Orlando, FL 32824-4302 | 2020-08-04 |
| 1134747470 | Edelio Valentin De Zayas | Nurse Practitioner | 7763 Segovia St, Orlando, FL 32822-8036 | 2020-07-13 |
| 1811515141 | Yuliet Castillo | Nurse Practitioner | 10814 Flycast Cir, Orlando, FL 32825-4878 | 2020-07-13 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on MRS. KATHLEEN ELIZABETH TABAKA.
| 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.