MICHELLE ANN WILDE (NPI# 1013571975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013571975 |
| Entity Type | Individual |
| Full Name | MICHELLE ANN WILDE |
| Credential | APRN (FNP-C) |
| Practice Address |
1700 S Tamiami Trl Sarasota FL 34239-3509 |
| Mailing Address |
Po Box 863407 Orlando FL 32886-3407 |
| Practice Telephone | 9419174896 |
| Practice Fax Number | 9419176884 |
| Mailing Telephone | 9419172600 |
| Mailing Fax Number | 9419177884 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11002008 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 S TAMIAMI TRL |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661185 | Wayne S Blake | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239 | 2005-06-28 |
| 1386244937 | Bradley Bramante Inzalaco | Registered Nurse | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-10-31 |
| 1235739293 | Kevin Lekawa | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-10-29 |
| 1295334449 | Sarah Spivey Stephenson | Surgery | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-10-20 |
| 1043829435 | Samer Bassam Taher Khader | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-07-30 |
| 1578172623 | Martin Dean Faile | Pharmacist | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-24 |
| 1194333674 | Dana Devine Gau | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-21 |
| 1063020121 | Erica Warkus | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-15 |
| 1336767904 | Kevin Gil | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-10 |
| 1558989103 | Stephanie Murphy | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| 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 |
|---|---|---|---|---|
| 1659988871 | Caleb Rose | Nurse Practitioner | 1852 Hillview St Ste 301, Sarasota, FL 34239-3638 | 2020-10-01 |
| 1043823214 | Rachelle Ann Kutzko | Nurse Practitioner | 3333 Cattlemen Rd Ste 106, Sarasota, FL 34232-6057 | 2020-08-28 |
| 1003428707 | Derek Jason Sisk | Nurse Practitioner | 3554 65th Avenue Cir E, Sarasota, FL 34243-4116 | 2020-08-24 |
| 1104437128 | Heather Wicklund | Nurse Practitioner | 1626 Brookhouse Dr Unit 234, Sarasota, FL 34231-8982 | 2020-08-13 |
| 1205460540 | Olga Nielsen | Nurse Practitioner | 1857 Oak Branch Dr, Sarasota, FL 34232-6658 | 2020-02-25 |
| 1194284737 | Lori-ann T Luer | Nurse Practitioner | 3245 Old Oak Dr, Sarasota, FL 34239-5020 | 2019-03-13 |
| 1881150555 | Steven Mazar | Nurse Practitioner | 5151 Old Ashwood Dr, Sarasota, FL 34233-3491 | 2019-02-18 |
| 1295204741 | Beth Robin Domino | Nurse Practitioner | 700 Cocoanut Ave Unit 326, Sarasota, FL 34236-5063 | 2018-11-14 |
| 1235634700 | Marathon Health LLC | Nurse Practitioner | 237 Payne Pkwy Unit 101, Sarasota, FL 34237-7018 | 2018-03-27 |
| 1861904567 | Linda Suzanne Martell | Nurse Practitioner | 8383 S. Tamiami Trail, Suite 115, Sarasota, FL 34238-3046 | 2017-11-02 |
| Find all providers in SARASOTA | ||||
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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.