FLORIDA FACILITISTS, LLC (NPI# 1043252307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043252307 |
| Entity Type | Organization |
| Organization Name | FLORIDA FACILITISTS, LLC |
| Practice Address |
1450 W Lake Brantley Rd Longwood FL 32779-4766 |
| Mailing Address |
2000 Prevatt St Suite B3 Eustis FL 32726-6149 |
| Practice Telephone | 3212730301 |
| Mailing Telephone | 3212730301 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN HANSON RAUCH (MANAGER) |
| Authorized Official Telephone | 3212730301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1450 W LAKE BRANTLEY RD |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-4766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| 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 |
|---|---|---|---|---|
| 1255944609 | Rayna Elice Mike | Nurse Practitioner | 716 Fox Valley Dr, Longwood, FL 32779-2508 | 2020-08-26 |
| 1912406315 | Mini V Kuriakose | Nurse Practitioner | 382 Brentwood Club Cv, Longwood, FL 32750-3352 | 2018-02-12 |
| 1629467295 | Barbara Jean Locke | Nurse Practitioner | 3967 Oakington Pl, Longwood, FL 32779-7119 | 2015-01-20 |
| 1275512196 | Vivian Lizzette Kaiser | Nurse Practitioner | 515 W State Road 434 Ste 100a, Longwood, FL 32750-4981 | 2006-01-10 |
| 1417450594 | April Lynn Nooney | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2018-03-14 |
| 1689114050 | Kimberly Kay Nelson | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2017-03-03 |
| 1891238440 | Melissa Araujo | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2016-11-30 |
| 1245695550 | Kristyn Line | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2015-12-31 |
| 1881068955 | Erika G. Oliver | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2015-11-30 |
| 1790176998 | Brian Clayton | Nurse Practitioner | 555 W State Road 434, Longwood, FL 32750-5119 | 2015-02-10 |
| Find all providers in LONGWOOD | ||||
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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.