MIRIAM JOY MAYCOCK-DOSS (NPI# 1952831380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952831380 |
| Entity Type | Individual |
| Full Name | MIRIAM JOY MAYCOCK-DOSS |
| Credential | ARNP |
| Practice Address |
1700 Se Hillmoor Dr Ste 407 Port St Lucie FL 34952-7561 |
| Practice Telephone | 7723359600 |
| Practice Fax Number | 7723987971 |
| Mailing Telephone | 7723359600 |
| Mailing Fax Number | 7723987971 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9287504 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9287504 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 SE HILLMOOR DR STE 407 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962505206 | Darron Lewis | Internal Medicine | 1700 Se Hillmoor Dr Ste 407, Port St Lucie, FL 34952-7561 | 2006-09-05 |
| 1376898122 | Ellis Christian | Internal Medicine | 1700 Se Hillmoor Dr Ste 407, Port St Lucie, FL 34952-7561 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386811 | Louise Lorraine Voltaire | Nurse Practitioner | 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 | 2020-11-04 |
| 1043823644 | Jose Ruben Aldo Dawson | Nurse Practitioner | 656 Sw Munjack Cv, Port St Lucie, FL 34986-4530 | 2020-08-25 |
| 1629533674 | Angela Renea Trodglen | Nurse Practitioner | 1801 Se Hillmoor Dr Ste C-207, Port St Lucie, FL 34952-7574 | 2019-02-04 |
| 1104381490 | Taisha Johnson | Nurse Practitioner | 1893 Sw Kimberly Ave, Port St Lucie, FL 34953-1020 | 2019-01-31 |
| 1659835437 | Mirlange Odies Fleuriot | Nurse Practitioner | 2242 Sw Newport Isles Blvd, Port St Lucie, FL 34953-4577 | 2019-01-25 |
| 1760959811 | Kim Czerwinski | Nurse Practitioner | 386 Se Cork Rd, Port St Lucie, FL 34984-6309 | 2018-10-26 |
| 1316453244 | Kathleen Anne Gribbon | Nurse Practitioner | 2518 Se Pineland Dr, Port St Lucie, FL 34952-8045 | 2017-12-14 |
| 1982121646 | Natasha Bienaime | Nurse Practitioner | 1018 Sw Facet Ave, Port St Lucie, FL 34953 | 2017-08-24 |
| 1760843304 | Tania Burey Mclean | Nurse Practitioner | 4182 Sw Baird St, Port St Lucie, FL 34953-3136 | 2016-03-09 |
| 1801264577 | Shelita Dunlap | Nurse Practitioner | 10023 S Us Highway 1 Ste A, Port St Lucie, FL 34952-5643 | 2015-09-10 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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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.