NICOLAS LYDE (NPI# 1104986355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104986355 |
| Entity Type | Individual |
| Full Name | NICOLAS LYDE |
| Credential | PA |
| Practice Address |
1501 Pasadena Ave S South Pasadena FL 33707-3717 |
| Mailing Address |
861 Sw 78th Ave Suite # 100b Plantation FL 33324-3273 |
| Practice Telephone | 7273417777 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA3024 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1501 PASADENA AVE S |
| City | SOUTH PASADENA |
| State | FL |
| Zip Code | 33707-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154754 | John D Kepler | Anesthesiology | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2005-06-14 |
| 1063043388 | Katelyn Dalto | Nurse Anesthetist, Certified Registered | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2020-01-27 |
| 1508418740 | Ashley Brooke Moore | Nurse Practitioner | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2019-07-09 |
| 1669970133 | Adam Christopher Major | Nurse Practitioner | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2018-01-30 |
| 1316458482 | Autumn Breanne Hanson | Physical Therapist | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2017-10-17 |
| 1396279121 | Latrena Tyree Gamble-harrell | Nurse Practitioner | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2017-04-19 |
| 1841742186 | Robert Winer | Nurse Practitioner | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2016-11-03 |
| 1205217379 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2015-06-15 |
| 1629459698 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2015-06-15 |
| 1053792135 | Radiology Services of Jupiter Medical Specialists LLC | Radiology | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| 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 |
|---|---|---|---|---|
| 1346875994 | Maria Antoinette Ciliberti | Physician Assistant | 1609 Fremont Ave Apt 307, South Pasadena, CA 91030-4442 | 2020-03-04 |
| 1477187128 | Kati Vonseggern | Physician Assistant | 1609 Fremont Ave Apt 301, South Pasadena, CA 91030-4442 | 2020-03-02 |
| 1780176958 | Deborah Michelle Bergman | Physician Assistant | 1107 Fair Oaks Ave # 7, South Pasadena, CA 91030-3311 | 2018-06-04 |
| 1093989410 | Jose Arturo Lopez | Physician Assistant | 1963 Milan Ave, South Pasadena, CA 91030-4651 | 2008-04-16 |
| 1336798503 | Shelby Hannah Kaminsky | Physician Assistant | 1609 Pasadena Ave S Ste 3m, South Pasadena, FL 33707-4563 | 2019-09-10 |
| 1124502992 | Hannah Mora | Physician Assistant | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2018-09-18 |
| 1942506134 | Christy Lassiter Delcamp | Physician Assistant | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
Please comment or provide details below to improve the information on NICOLAS LYDE.
| 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.