DERICK HOLCOMB (NPI# 1982255840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982255840 |
| Entity Type | Individual |
| Full Name | DERICK HOLCOMB |
| Practice Address |
18115 Palm Beach Dr Tampa FL 33647-4048 |
| Mailing Address |
10232 Grant Creek Dr Tampa FL 33647-2932 |
| Practice Telephone | 3057930769 |
| Mailing Telephone | 3057930769 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
18115 PALM BEACH DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-4048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979482 | Cynthia D Holcomb | Counselor | 18115 Palm Beach Dr, Tampa, FL 33647-4048 | 2019-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891336913 | Wendy E Harvey | Technician | 19116 Lake Audubon Dr, Tampa, FL 33647-3232 | 2019-09-30 |
| 1245881028 | Elvin Rivera Marcano | Technician | 12536 Tinsley Cir Apt 103, Tampa, FL 33612-7233 | 2019-09-24 |
| 1114578838 | Gail Hartmaier | Technician | 3805 East Crenshaw Street, Tampa, FL 33604 | 2019-09-24 |
| 1083265169 | Joshua Myers | Technician | 8611 Chinaberry Dr, Tampa, FL 33637-6421 | 2019-09-20 |
| 1891346938 | Carrie Covington | Technician | 1506 E 138th Ave Apt B, Tampa, FL 33613-3599 | 2019-09-20 |
| 1326698457 | Marsha Eady | Technician | 8465 Dunham Station Dr, Tampa, FL 33647-3339 | 2019-09-20 |
| 1316597503 | Patricia Harrison | Technician | 6110 Haven Oak Cir, Tampa, FL 33619-5449 | 2019-09-19 |
| 1376193565 | Catillie Jones | Technician | 17908 White Sand Dr, Tampa, FL 33647-4053 | 2019-09-19 |
| 1245880780 | Marcia Lawrence | Technician | 10330 Birdwatch Dr, Tampa, FL 33647-2905 | 2019-09-17 |
| 1295384253 | Jennifer D Zubrick | Technician | 9438 Larkbunting Dr, Tampa, FL 33647-2822 | 2019-09-11 |
| Find all providers in TAMPA | ||||
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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.