MELBA MAE EDA (NPI# 1992356059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992356059 |
| Entity Type | Individual |
| Full Name | MELBA MAE EDA |
| Credential | APRN |
| Practice Address |
7620 Lake Underhill Rd Orlando FL 32822-8223 |
| Practice Telephone | 3212350692 |
| Mailing Telephone | 3212350692 |
| Mailing Fax Number | 3212350694 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN11000737 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7620 LAKE UNDERHILL RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32822-8223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066295 | Ivette Hernandez | Internal Medicine | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2005-10-07 |
| 1528669744 | Katelyn Smith | Physician Assistant | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2020-11-04 |
| 1013525294 | Eric A Carlon | Registered Nurse | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2020-07-14 |
| 1235761750 | Azra Jasarevic Camacho | Social Worker | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2020-02-12 |
| 1093356552 | Mavila Rachell Dumanoir-garcia | Social Worker | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2019-10-04 |
| 1447814488 | Tony John Mcneill | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2019-04-25 |
| 1992265979 | Sheila Blake | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2019-03-25 |
| 1033678719 | Malaika Stephanie Joseph | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2019-03-13 |
| 1962974071 | Dorian Nichol Williams | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2018-12-31 |
| 1164903928 | Tamekia Smith | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2018-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697335 | Julie C Figaro | Physical Therapy Assistant | 7209 Curry Ford Ste E, Orlando, FL 32822 | 2020-10-26 |
| 1912411240 | Advanced Mobility of Central Florida Corp | Durable Medical Equipment & Medical Supplies | 5844 S. Semoran Blvd., Orlando, FL 32822 | 2017-11-22 |
| 1467965434 | Ashley Morgan Mcglashen | Behavior Technician | 5773 Gatlin Ave, Orlando, FL 32822 | 2017-11-13 |
| 1801315312 | Ashleigh Boyle | Counselor | 5768 S. Semoran Blvd, Orlando, FL 32822 | 2017-09-15 |
| 1528584943 | Carlos Mario Davila Sr. | Psychologist | 7113 Lakner Way, Orlando, FL 32822 | 2017-08-17 |
| 1760922876 | Guardians of Care, LLC | Family Medicine | 733 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2017-03-08 |
| 1457808529 | Rachel Richardson | Counselor | 5758 S. Seminole Blvd., Orlando, FL 32822 | 2016-09-07 |
| 1215392154 | Teresita Henao | Nurse Practitioner | 900 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2015-12-18 |
| 1407221831 | Jennifer Castro | Psychologist | 4153 S Semoran, Unit 10, Orlando, FL 32822 | 2015-12-10 |
| 1821466616 | Miguel Yanes Delgado | Nurse Practitioner | 5564 East Grant St, Orlando, FL 32822 | 2015-09-10 |
| Find all providers in zip 32822 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1710595640 | Sunshine Health Partners, LLC | Nurse Practitioner | 80 W Lucerne Cir, Orlando, FL 32801-3779 | 2020-07-16 |
| 1245863398 | Haley Toruno | Nurse Practitioner | 3100 Oxford St, Orlando, FL 32803-6825 | 2020-02-18 |
| 1205391968 | Chi Kim Hoang | Nurse Practitioner | 11418 Brindle St, Orlando, FL 32824-4412 | 2019-02-07 |
| 1154885929 | Latrece N Booker | Nurse Practitioner | 10925 Moss Park Rd Unit 741, Orlando, FL 32832-6054 | 2019-01-25 |
| 1851884944 | Timothy L. Ramos | Nurse Practitioner | 6732 Brittany Chase Ct, Orlando, FL 32810-3613 | 2018-06-13 |
| 1538670021 | Ingrid Stewart | Nurse Practitioner | 4721 Watch Hill Ct, Orlando, FL 32808-2029 | 2017-10-24 |
| 1780116012 | Hyacinth Fay Addison | Nurse Practitioner | 13944 Broadwing Dr, Orlando, FL 32837-8122 | 2017-03-28 |
| 1841655180 | In Home Primary Care Inc | Nurse Practitioner | 11380 Ashboro Dr, Orlando, FL 32837-9022 | 2015-12-30 |
| 1083215446 | Erin Risavi Tongue | Nurse Practitioner | 3160 Southgate Commerce Blvd, Orlando, FL 32806-8549 | 2020-11-03 |
| Find all providers in ORLANDO | ||||
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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.