MATTHEW BRAGG (NPI# 1013472612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013472612 |
| Entity Type | Individual |
| Full Name | MATTHEW BRAGG |
| Credential | APRN FNP |
| Practice Address |
13019 Delwood Rd Tampa FL 33624-4305 |
| Mailing Address |
Po Box 270439 Tampa FL 33688-0439 |
| Practice Telephone | 8132033752 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 11000684 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13019 DELWOOD RD |
| City | TAMPA |
| State | FL |
| Zip Code | 33624-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617380 | Transforming Treasures LLC | Behavioral Analyst | 4810 Centerbrook Ct, Tampa, FL 33624 | 2020-07-30 |
| 1467097642 | Sherryl Lynn Johnson-hanna | Dietitian, Registered | 4904 Rambling Rose Place, Tampa, FL 33624 | 2019-11-12 |
| 1679125926 | Nurse Practitioner On The Go | In Home Supportive Care | 16411 Oak Manor Drive, Tampa, FL 33624 | 2019-07-16 |
| 1427547587 | Sylicia Marks | Counselor | 4105 Brentwood Park Cir, Tampa, FL 33624 | 2018-05-04 |
| 1407352917 | Shelley Von Hightower | Pharmacist | 5008 W. Linebaugh Ave, Suite 35, Tampa, FL 33624 | 2018-04-03 |
| 1972002178 | Zachary Winterberg | Specialist/Technologist | 3821 Northgreen Ave Apt 1407, Tampa, FL 33624 | 2018-02-03 |
| 1013423268 | Beyond Care Home Health LLC | Home Health | 3903 Northdale Bvld, 100e, Tampa, FL 33624 | 2017-12-26 |
| 1285148841 | Gary Donald Kociszewski Jr. | Behavior Technician | 4920 Traskwood Ct, Tampa, FL 33624 | 2017-11-18 |
| 1932611944 | Valerie Lauren Martinez | Behavior Technician | 14039 Wolcott Dr, Tampa, FL 33624 | 2017-10-31 |
| 1073038287 | Mesfin T Araya | Non-emergency Medical Transport (VAN) | 4403 Akita Dr, Tampa, FL 33624 | 2017-08-09 |
| Find all providers in zip 33624 | ||||
| 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 |
|---|---|---|---|---|
| 1356953905 | Mayelin Matos | Nurse Practitioner | 8320 W Pocahontas Ave, Tampa, FL 33615-2821 | 2020-08-17 |
| 1184235483 | Kety Uriarte | Nurse Practitioner | 4100 N Tampania Ave, Tampa, FL 33607-6830 | 2020-08-11 |
| 1861001919 | Deborah Diaz Telesford | Nurse Practitioner | 10709 Pleasant Knoll Dr, Tampa, FL 33647-3667 | 2020-07-24 |
| 1699392936 | Medjine Noel | Nurse Practitioner | 7412 French Marigold Ave, Tampa, FL 33619-6941 | 2020-07-02 |
| 1407472129 | Evisencia Mathurin | Nurse Practitioner | 9618 Oak Glade Ave, Tampa, FL 33647-2985 | 2020-06-18 |
| 1811518111 | Ji Universal Medical Group LLC | Nurse Practitioner | 8903 Regents Park Dr Ste 120, Tampa, FL 33647-3083 | 2020-04-28 |
| 1609414135 | Yaima Rodriguez | Nurse Practitioner | 7520 Brookhaven Ct, Tampa, FL 33634-2924 | 2019-12-16 |
| 1366087322 | Sajani Patel | Nurse Practitioner | 5210 Webb Rd Fl 33615, Tampa, FL 33615-4518 | 2019-11-14 |
| 1518501337 | Courtney Anne Sink | Nurse Practitioner | 10515 Villa View Cir, Tampa, FL 33647-2599 | 2019-11-05 |
| 1942777875 | Etheldra Renee Edwards | Nurse Practitioner | 16615 Vallely Dr, Tampa, FL 33618-1132 | 2018-10-29 |
| 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.