DANE HUGE (NPI# 1104464882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104464882 |
| Entity Type | Individual |
| Full Name | DANE HUGE |
| Credential | APRN |
| Practice Address |
1150 Red John Dr Daytona Beach FL 32124-1016 |
| Mailing Address |
150 Magnolia Ave Daytona Beach FL 32114-4304 |
| Practice Telephone | 8005394228 |
| Mailing Telephone | 8005394228 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN11004716 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1150 RED JOHN DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| 1114049715 | Linda Jean Crandall | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-04-04 |
| 1508983826 | Kathleen Rogan | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-23 |
| 1487770137 | Amy V Ballou | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-22 |
| 1457476863 | Scott Henry March | Social Worker | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-21 |
| 1750407110 | Liza M Sampson | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-21 |
| 1912032483 | Colleen Ritchie | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-02-23 |
| 1497734735 | Leo Salter | Psychologist | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-14 |
| 1669450466 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1376521187 | Sma Healthcare Inc | Community Based Residential Treatment Facility, Mental Illness | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1891212130 | Brian Moore | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124 | 2017-08-28 |
| 1588834725 | Glendoria Stephens | Counselor | 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 | 2008-03-04 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1467805465 | Ocean Road LLC | Community/Behavioral Health | 3520 W International Speedway Blvd, Daytona Beach, FL 32124-1026 | 2016-07-14 |
| Find all providers in zip 32124 | ||||
| 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 |
|---|---|---|---|---|
| 1154988814 | Gena Penn | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-05-28 |
| 1720589229 | Irene Talarico | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-02-21 |
| 1205343126 | Roberta Marie Jones | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2017-12-30 |
| 1932624426 | Maryann Ethel Barrett | Nurse Practitioner | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2017-08-07 |
| 1134667181 | Amy Beth Mcdonnell | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2017-02-09 |
| 1811357262 | Erin Siatkowski | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2016-02-28 |
| 1619219375 | Marie Augustina Smith | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2013-03-20 |
| 1306175203 | Tananarieve P Brown | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2009-12-24 |
| 1417109919 | Margaret Fasano | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2008-10-15 |
| 1265690440 | Arthur Patrick Miller | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2008-05-24 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
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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.