BROOKE WACKER (NPI# 1033771563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033771563 |
| Entity Type | Individual |
| Full Name | BROOKE WACKER |
| Credential | APRN |
| Practice Address |
17825 Sw 31st Ave Ocala FL 34473-4550 |
| Practice Telephone | 3524457289 |
| Mailing Telephone | 3524457289 |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11003575 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17825 SW 31ST AVE |
| City | OCALA |
| State | FL |
| Zip Code | 34473-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590468 | Latisha Planter | Home Health | 12789 Sw 38th Cir, Ocala, FL 34473 | 2017-07-13 |
| 1023478880 | Tamara Lopez Diaz | Family Medicine | 13795 Sw 36th Avenue Rd Ste 4, Ocala, FL 34473 | 2016-03-07 |
| 1659621381 | Brighter Futures for You, LLC | Case Management | 2637 Sw 175th Loop, Ocala, FL 34473 | 2012-09-10 |
| 1194938019 | Randy L Baker | Pharmacist | 184 Marion Oaks Dr, Ocala, FL 34473 | 2007-05-07 |
| 1609880970 | Marion Daks Rehab Inc | Physical Therapist | 13795 Sw 36th Ave, Rd # 5, Ocala, FL 34473 | 2006-07-29 |
| 1336663764 | Planters Homecare | Home Health | 12789 Sw 38th Cir, Ocala, FL 34473 | 2017-07-27 |
| 1225341332 | Haley's House Inc | Custodial Care Facility | 16650 Sw 55th Court Rd, Ocala, FL 34473-0600 | 2010-07-18 |
| 1154604072 | Absolute Quick Care, LLC | Clinic/Center | 1665 Sw Highway 484, Suite 105, Ocala, FL 34473-1995 | 2011-09-27 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1396229217 | Virginia Allen | Homemaker | 4366 Sw 140th Street Rd, Ocala, FL 34473-2028 | 2018-09-17 |
| Find all providers in zip 34473 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525300 | Panzer Concierge Medicine LLC | Nurse Practitioner | 2880 Se 31st St, Ocala, FL 34471-6252 | 2020-10-12 |
| 1558973511 | Casey Shea Chapman | Nurse Practitioner | 2211 Se 73rd St, Ocala, FL 34480-6201 | 2020-08-20 |
| 1831700368 | Jaime Renee Howland | Nurse Practitioner | 3333 Ne 32nd Ave, Ocala, FL 34479-3098 | 2020-08-10 |
| 1265057798 | Angelika Marie Agudelo | Nurse Practitioner | 4315 Se 60th St, Ocala, FL 34480-7749 | 2020-06-10 |
| 1184247157 | Joanne Caridad Blanco Lebosada | Nurse Practitioner | 4707 Sw 62nd Pl, Ocala, FL 34474-4786 | 2020-05-25 |
| 1235758046 | Rolla Pierre | Nurse Practitioner | 2592 Sw 156th Pl, Ocala, FL 34473-3493 | 2020-04-11 |
| 1215569868 | Victoria Tuten | Nurse Practitioner | 1850 Se 18th Ave Apt 1905, Ocala, FL 34471-8259 | 2020-02-11 |
| 1891332227 | Lenora Everett-gayle | Nurse Practitioner | 4401 Sw 171st Pl, Ocala, FL 34473-5082 | 2019-12-04 |
| 1801444559 | Dee Demetrius Lewis | Nurse Practitioner | 2015 Ne 12th Pl, Ocala, FL 34470-4734 | 2019-08-27 |
| 1083275994 | Jessica Pruitt | Nurse Practitioner | 2 Dogwood Trail Ln, Ocala, FL 34472-9691 | 2019-06-23 |
| Find all providers in OCALA | ||||
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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.