MS. MARY CHRISTINE DECKER (NPI# 1043517808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043517808 |
Entity Type | Individual |
Full Name | MS. MARY CHRISTINE DECKER |
Credential | ARNP, PMH-NP, BC |
Practice Address |
719 E Oak St Kissimmee FL 34744-4580 |
Mailing Address |
107 S Division St Spokane WA 99202-1510 |
Practice Telephone | 4078460533 |
Practice Fax Number | 4075181730 |
Mailing Telephone | 5098384651 |
Mailing Fax Number | 5093632762 |
Enumeration Date | 2011-02-14 |
Last Update Date | 2018-04-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
N360709834 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9313396 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
107 S Division St, Spokane, WA 992021510 | 5098384651 | 5093632762 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518409259 | Mary Beth Decker | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4038 | 2016-11-11 |
1295022770 | Mary Joan Decker | Nurse Practitioner | 2401 Westport Pkwy, Suite 140, Fort Worth, TX 76177-5315 | 2011-07-05 |
1528202108 | Mary Decker | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-04-27 |
1366600728 | Mary Grace Decker | Speech-Language Pathologist | 2 Gracedale Ave, Nazareth, PA 18064-8895 | 2008-06-01 |
1679501118 | Mary K Decker | Physician Assistant | 8091 Rivers Ave, North Charleston, SC 29406-9236 | 2006-06-30 |
Street Address |
719 E OAK ST |
City | KISSIMMEE |
State | FL |
Zip Code | 34744-4580 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598755761 | Gustavo V. Ruiz-santiago | Specialist | 719 E Oak St, Kissimmee, FL 34744-4580 | 2005-10-27 |
1659704443 | Amrita Kaur Kataria | Counselor | 719 E Oak St, Kissimmee, FL 34744-4580 | 2013-08-15 |
1780886937 | Deborah Rivera | Counselor | 719 E Oak St, Kissimmee, FL 34744-4580 | 2007-06-01 |
1790803542 | Jose Olmar Gonzalez-quinonez | Psychiatry & Neurology | 719 E Oak St, Kissimmee, FL 34744-4580 | 2007-03-27 |
1194765065 | Rosa Ozema Beltre | Social Worker | 719 E Oak St, Kissimmee, FL 34744-4580 | 2006-06-07 |
1245216522 | Miguel J Melendez Munoz | General Practice | 719 E Oak St, Kissimmee, FL 34744-4580 | 2005-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
Find all providers in zip 34744 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
1124660410 | Elecia Dean Trowers | Nurse Practitioner | 321 W Oak St, Kissimmee, FL 34741-4421 | 2019-10-08 |
1275187924 | Cassandra Marie Craft | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2019-07-31 |
1356792675 | Pablo F Perez | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2016-06-28 |
1669769923 | Alicia Ramon Hite | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2011-07-06 |
1033446018 | Deenah Ragnauth | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2009-11-11 |
1265638688 | Gilah Freidel Weissman | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2007-06-22 |
1982712600 | Linda Anne Hill | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2006-08-25 |
1538191044 | Mary Ellen Kronberg | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2006-07-07 |
1932140787 | Elizabeth R. Walther | Nurse Practitioner | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2006-06-10 |
Find all providers in KISSIMMEE |
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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.