MRS. TRACENA ANNETTE STUDMIRE (NPI# 1932514254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932514254 |
Entity Type | Individual |
Full Name | MRS. TRACENA ANNETTE STUDMIRE |
Credential | HOME HEALTH |
Practice Address |
351 Delancey Dr Davenport FL 33837-7644 |
Mailing Address |
12513 Wisconsin Woods Ln Orlando FL 32824-9022 |
Practice Telephone | 3216826819 |
Practice Fax Number | 4078709605 |
Mailing Telephone | 3216826819 |
Enumeration Date | 2014-06-25 |
Last Update Date | 2015-10-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
005538400 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 005538400 | 05 |
Street Address |
351 DELANCEY DR |
City | DAVENPORT |
State | FL |
Zip Code | 33837-7644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
1346872835 | Shelly Hanson | Dietitian, Registered | 40100 Us 27, Davenport, FL 33837 | 2020-02-12 |
1689221269 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 40124 Us Hwy 27, Suite 205, Davenport, FL 33837 | 2019-08-20 |
1578029039 | Portia P White | In Home Supportive Care | 108 East James St, Davenport, FL 33837 | 2019-02-20 |
1366937146 | Sheetal Kirat Parikh | Dietitian, Registered | 40100 Us Highway 27, Davenport, FL 33837 | 2018-06-25 |
1063929883 | Marisa Christine Sweetser | Registered Nurse | 40100 Us-27, Davenport, FL 33837 | 2018-01-02 |
1104341460 | Haley Kampf | Behavioral Analyst | 4303 Cortland Dr, Davenport, FL 33837 | 2017-08-08 |
1013438373 | Tamara Michelle Ortiz | Speech-Language Pathologist | 206 Nova Drive, Davenport, FL 33837 | 2017-06-27 |
Find all providers in zip 33837 |
Taxonomy Code | 103TA0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Adult Development & Aging |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972088912 | Collaborative Psych & Med | Psychologist | 4406 S Florida Ave Ste 31, Lakeland, FL 33813-2176 | 2018-09-26 |
1487130282 | Shari-ann Melissa Picart-mullings | Psychologist | 4121 Nw 5th St Ste 207, Plantation, FL 33317-2120 | 2018-07-14 |
1932656899 | Pooja Shastri | Psychologist | 13430 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1812 | 2016-09-07 |
1932566882 | Comprehensive Neurobehavioral Services, P.a. | Psychologist | 2142 Alt 19, Ste C1, Palm Harbor, FL 34683-5361 | 2016-01-23 |
1265831804 | Heun Comprehensive Psychological Services, LLC | Psychologist | 2102 W Platt St, Suite 106, Tampa, FL 33606-1769 | 2014-08-20 |
1104268952 | Calvin Hall Jr. | Psychologist | 3101 Rackley Dr, Tallahassee, FL 32305-6737 | 2013-07-22 |
1720339377 | Ricardo L. Zamora | Psychologist | 3050 Nw 32nd St, Miami, FL 33142-5857 | 2012-09-23 |
1770816290 | Miracle Health Services Inc | Psychologist | 8660 W Flagler St Ste 214, Miami, FL 33144-2061 | 2009-09-16 |
1912155144 | Brad Stephen Broeder | Psychologist | 1266 First Street, Suite #11, Sarasota, FL 34236-5519 | 2008-08-29 |
1912179656 | Ana-lilia Smith | Psychologist | 1501 Venera Ave Ste 225, Coral Gables, FL 33146-3032 | 2008-04-01 |
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.