KATHLEEN MARY DELUCIA (NPI# 1013404946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013404946 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARY DELUCIA |
| Credential | CAP |
| Practice Address |
3574 Us Highway 1 S Ste 101-104 St Augustine FL 32086-6466 |
| Practice Telephone | 9042177161 |
| Practice Fax Number | 9042174075 |
| Mailing Telephone | 9042177161 |
| Mailing Fax Number | 9042174075 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5478 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925463 | Kathleen M. Delucia | Clinical Exercise Physiologist | 11001 Chester Garden Cir, Chester, VA 23831-5701 | 2018-09-13 |
| Street Address |
3574 US HIGHWAY 1 S STE 101-104 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-6466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659868586 | Suzanne Gregory | Counselor | 3574 Us Highway 1 S Ste 101-104, St Augustine, FL 32086-6466 | 2018-04-17 |
| 1184111072 | Jazzmin Acea | Counselor | 3574 Us Highway 1 S Ste 101-104, St Augustine, FL 32086-6466 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124595152 | Brittany Marie Missildine | Counselor | 3574 Us 1 S Ste 101, St Augustine, FL 32086-6467 | 2018-10-29 |
| 1922595859 | Patricia Lopez | Counselor | 3574 Us 1 S Ste 102, St Augustine, FL 32086-6467 | 2018-04-17 |
| 1194212027 | Jason Lamar Tucker | Counselor | 3574 Us 1 S Ste 101104, St Augustine, FL 32086-6466 | 2018-04-17 |
| 1477040301 | Ononike Umerah | Counselor | 3574 Us 1 S Ste 101-104, St Augustine, FL 32086-6466 | 2018-04-17 |
| 1740673417 | Epic Community Services Inc | Counselor | 1400 Old Dixie Hwy Ste A, St Augustine, FL 32084-5733 | 2015-03-05 |
| 1730588724 | Cecilia Marney | Counselor | 3574 Us 1 S # 101-104, St Augustine, FL 32086 | 2014-08-15 |
| 1598005456 | Joseph C Roy | Counselor | 409 11th St, St Augustine, FL 32084-1474 | 2013-02-28 |
| 1124598925 | Raymond Noel Francis | Counselor | 3574 Us 1 S Ste 101-104, St Augustine, FL 32086-6466 | 2018-12-05 |
| 1487132239 | Melissa Shannon Quilty | Counselor | 3574 Us 1 S Ste 102, St Augustine, FL 32086-6467 | 2018-08-03 |
| 1114415965 | Kevin Marte Summerize | Counselor | 3574 Us 1 S Ste 101-104, St Augustine, FL 32086-6466 | 2018-04-27 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on KATHLEEN MARY DELUCIA.
| 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.