MRS. STEPHANIE DEAN FISH (NPI# 1952741845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952741845 |
Entity Type | Individual |
Full Name | MRS. STEPHANIE DEAN FISH |
Credential | PMHNP-BC, MSN, ARNP |
Practice Address |
2020 Commerce Dr Melbourne FL 32904-2335 |
Mailing Address |
400 Sheridan Rd Melbourne FL 32901-3122 |
Practice Telephone | 3219526000 |
Practice Fax Number | 3219526010 |
Mailing Telephone | 3219526000 |
Mailing Fax Number | 3219526010 |
Enumeration Date | 2013-06-25 |
Last Update Date | 2018-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN2925952 | FL | Nursing Service Providers |
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497853980 | Stephanie Mcgowan Fish | Speech-Language Pathologist | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2006-09-20 |
1568818557 | Stephanie Fish | Marriage & Family Therapist | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-05-09 |
1255682225 | Stephanie Helaine Fish | Social Worker | 3297 Washington St, Jamaica Plain, MA 02130-2655 | 2012-10-01 |
1770502262 | Stephanie A Fish | Internal Medicine | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2006-07-18 |
Street Address |
2020 COMMERCE DR |
City | MELBOURNE |
State | FL |
Zip Code | 32904-2335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144793407 | Kelly Fuller | Nurse Practitioner | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2019-01-09 |
1164725933 | Tanisha Campbell | Licensed Practical Nurse | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2010-12-16 |
1538362439 | David Cyrus Ray | Pharmacist | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-06-07 |
1023141033 | Sheila Ponce | Psychologist | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-03-13 |
1598807059 | Sarah Tyler | Social Worker | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-13 |
1245371160 | James Braun | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
1285775122 | Patti Diane Gibbons | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
1295876035 | Harry Hillmer | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
1558402446 | Mary Allen | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
1083755995 | Joan Becker | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
Find all providers in zip 32904 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255473914 | Annette Marriott | Registered Nurse | 2000 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
1588706253 | Jane Valentine | Registered Nurse | 2000 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073474 | Charmaine A. Byrd | Registered Nurse | 214 Se Victoria Gln, Lake City, FL 32025-9308 | 2020-11-06 |
1447851076 | Robert James Dickinson | Registered Nurse | 303 Ravenswood Dr, Saint Augustine, FL 32084-3047 | 2020-11-02 |
1922616275 | Tasia Nadine Porter | Registered Nurse | 652 Ne 121st St, Biscayne Park, FL 33161-5510 | 2020-07-22 |
1801421714 | Daniel B Wright Np-c | Registered Nurse | 140 Island Way Unit 127, Clearwater, FL 33767-2216 | 2020-03-11 |
1891339099 | Shakila Moore | Registered Nurse | 29910 State Road 56, Wesley Chapel, FL 33543-8800 | 2019-10-30 |
1578118113 | Kerry Elizabeth Mattos | Registered Nurse | 5150 Central Sarasota Pkwy Apt 209, Sarasota, FL 34238-7623 | 2019-08-08 |
1588122386 | Janile Nelson | Registered Nurse | 1525 Sw Iffla Ave, Port St Lucie, FL 34953-6538 | 2019-03-11 |
1780141986 | Catherine Elaine Riley | Registered Nurse | 2130 Hopkins St, Orange Park, FL 32073-5220 | 2019-02-23 |
1205301942 | Phoenix Rehab Center Corp | Registered Nurse | 8500 W Flagler St Ste 106, Miami, FL 33144-2063 | 2018-10-09 |
1306352570 | Nikita L Jenkins | Registered Nurse | 1410 Ne 219th St, Lawtey, FL 32058-4387 | 2017-12-22 |
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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.