AMY LEE AVILES (NPI# 1093236721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093236721 |
| Entity Type | Individual |
| Full Name | AMY LEE AVILES |
| Practice Address |
2344 Sw Savona Blvd Port St Lucie FL 34953-2215 |
| Practice Telephone | 7724753457 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497083984 | Amy Kristen Aviles | Nurse Practitioner | 3 Aster Pl, Worcester, MA 01603-2201 | 2009-11-23 |
| 1639576945 | Amy Elizabeth Aviles | Speech-Language Pathologist | 425 Kings Hwy E, Bancroft Hall 204, Haddonfield, NJ 08033-1206 | 2014-12-02 |
| Street Address |
2344 SW SAVONA BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727035 | Juan Carlos Arteaga Jr. | Student in an Organized Health Care Education/Training Program | 742 Sw Mccullough Ave, Port St Lucie, FL 34953-3918 | 2020-10-13 |
| 1801455241 | Gail Marie Ruffin | Student in an Organized Health Care Education/Training Program | 160 Nw Pleasant Grove Way, Port St Lucie, FL 34986-3586 | 2019-06-10 |
| 1265963920 | Henry Brant Huson | Student in an Organized Health Care Education/Training Program | 10275 Sw Village Pkwy, Unit 206, Port St Lucie, FL 34987-2370 | 2017-03-24 |
| 1740809433 | Kenoviah Heron | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-04-13 |
| 1659990760 | Jonathan C. Nilson | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-04-09 |
| 1538796081 | Brendan Lawrence Mahoney | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-03-25 |
| 1326675968 | Alec Colby Underhill | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-03-24 |
| 1205490372 | Kyle Nielsen | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-04-24 |
| 1134689987 | Chase Hemphill | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-03-20 |
| 1427517432 | Morgan Macintyre | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-03-19 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on AMY LEE AVILES.
| 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.