NICOLE ALLEY HASTABA (NPI# 1043550775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043550775 |
| Entity Type | Individual |
| Full Name | NICOLE ALLEY HASTABA |
| Credential | PA-C |
| Practice Address |
11030 Rca Center Dr Suite 3015 Palm Beach Gardens FL 33410-4276 |
| Mailing Address |
5380 N Ocean Dr Eastpointe 1- 11g Riviera Beach FL 33404-2515 |
| Practice Telephone | 5617767041 |
| Mailing Telephone | 8122020124 |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2015-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9107111 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11030 RCA CENTER DR SUITE 3015 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-4276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447214127 | Michael Ted Borenstein | Dermatology | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2006-04-12 |
| 1104277797 | Michele Owaski | Physician Assistant | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2016-06-25 |
| 1003205196 | Palm Beach Gardens Regional Surgery Center LLC | Clinic/Center | 11030 Rca Center Dr, 3001, Palm Beach Gardens, FL 33410-4276 | 2015-01-13 |
| 1962613943 | Vidya S Rajpara | Dermatology | 11030 Rca Center Dr, #3015, Palm Beach Gardens, FL 33410-4276 | 2007-05-24 |
| 1578780508 | Stacey Deese Brown | Nurse Practitioner | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2007-04-19 |
| 1639276694 | Shapiro and Borenstein Dermatology LLP | Dermatology | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2006-09-20 |
| 1477518892 | Susan Marie Mata | Dermatology | 11030 Rca Center Dr, Ste 3015, Palm Beach Gardens, FL 33410-4276 | 2006-04-19 |
| 1720043466 | Steven David Shapiro | Dermatology | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922643600 | Andrew Whitis | Physician Assistant | 11382 Prosperity Farms Rd Ste 228, Palm Beach Gardens, FL 33410-3463 | 2019-11-17 |
| 1275032039 | Elena Gore | Physician Assistant | 4215 Burns Rd Ste 200, Palm Beach Gardens, FL 33410-4625 | 2018-02-07 |
| 1730540857 | Danielle Floyd | Physician Assistant | 4290 Professional Center Dr Ste 301, Palm Beach Gardens, FL 33410-4275 | 2016-03-17 |
| 1336538057 | Melissa A Chasez | Physician Assistant | 2845 Pga Blvd, Palm Beach Gardens, FL 33410-2910 | 2015-01-19 |
| 1245423557 | Paola Delgado | Physician Assistant | 4520 Donald Ross Road, Palm Beach Gardens, FL 33418-5105 | 2007-08-20 |
| 1053503284 | Cecilia A Bustamante | Physician Assistant | 3345 Burns Rd Ste 302, Palm Beach Gardens, FL 33410-4321 | 2007-08-12 |
| 1831215540 | Elizabeth Elllen Mohanty | Physician Assistant | 3345 Burns Rd Ste 105, 3345 Burns Rd, Suite 105, Palm Beach Gardens, FL 33410-4304 | 2007-03-22 |
| 1447303672 | Rosemond J Exantus | Physician Assistant | 3555 Northlake Blvd, Palm Beach Gardens, FL 33403-1650 | 2007-01-19 |
| 1265517700 | Gilbert Figueras Medida | Physician Assistant | 10335 N. Military Trail, Suite A, Palm Beach Gardens, FL 33410 | 2006-10-25 |
| 1245208776 | Tyrone Farias | Physician Assistant | 3370 Burns Rd Ste 105, Palm Beach Gardens, FL 33410-4327 | 2006-03-10 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on NICOLE ALLEY HASTABA.
| 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.