MRS. TASHA ELLSBERRY (NPI# 1013466697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013466697 |
| Entity Type | Individual |
| Full Name | MRS. TASHA ELLSBERRY |
| Credential | ARNP |
| Practice Address |
1859 Sw Newland Way Lake City FL 32025-6966 |
| Mailing Address |
1101 Ohio Ave S Live Oak FL 32064-4146 |
| Practice Telephone | 3867580003 |
| Mailing Telephone | 3867580003 |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
9344392 | FL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9344392 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1859 SW NEWLAND WAY |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-6966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465896 | Frederick Thomas Weber | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2005-05-31 |
| 1639711237 | Brittany Lynn Bailey | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-10-15 |
| 1003457623 | Cheryl Renae Abersold | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-10-04 |
| 1467910109 | Kimberlei M Faller | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-03-12 |
| 1437636370 | Leslee Stafford | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2018-07-24 |
| 1336691658 | Sabrina Green | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2016-11-03 |
| 1053869545 | Tyler Chase | Physician Assistant | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2016-09-14 |
| 1801279179 | Megan Tenney | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2015-07-06 |
| 1639557069 | Jennifer Nguyen Simpson | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2015-05-18 |
| 1053727081 | Amna Zarar | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2014-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151530 | Anne M Egan | Nurse Practitioner | 1608 N Oak St, Lake City, MN 55041-9031 | 2020-07-14 |
| 1104462225 | Markie Hunter | Nurse Practitioner | 236 Sw Birch Gln, Lake City, FL 32024-0795 | 2019-11-24 |
| 1255983854 | Carlon Darneil Jenkins | Nurse Practitioner | 126 Williamsburg Ave, Lake City, SC 29560-2734 | 2019-07-13 |
| 1811477078 | Jordan Budwick | Nurse Practitioner | 2970 W Us Highway 90 Ste 120, Lake City, FL 32055-4703 | 2018-08-17 |
| 1508343526 | Ashton Cagle Godwin | Nurse Practitioner | 1236 Mccutcheon Rd, Lake City, SC 29560-5619 | 2018-07-23 |
| 1811411754 | David Charles Terrell Jr. | Nurse Practitioner | 410 Sw Silver Palm Dr, Lake City, FL 32024-6757 | 2017-08-02 |
| 1164811576 | Sharma Atkinson-staten | Nurse Practitioner | 619 Sw Baya Dr Ste 102, Lake City, FL 32025-4204 | 2015-01-22 |
| 1750587002 | Jennifer Haith Scott | Nurse Practitioner | 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 | 2007-06-25 |
| 1902008857 | Laura Ann Parks | Nurse Practitioner | 4241 Nw American Ln, Lake City, FL 32055-4881 | 2007-06-04 |
| 1760693022 | Stephanie Kate Finnell | Nurse Practitioner | 351 Nw Franklin St, Suite 2, Lake City, FL 32055 | 2007-05-25 |
| Find all providers in LAKE CITY | ||||
Please comment or provide details below to improve the information on MRS. TASHA ELLSBERRY.
| 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.