MS. TINA LOUISE VAN DOREN (NPI# 1114152154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114152154 |
| Entity Type | Individual |
| Full Name | MS. TINA LOUISE VAN DOREN |
| Credential | ARNP, CPNP-PC, MSN |
| Practice Address |
4040 49th St N St Petersburg FL 33709-5734 |
| Practice Telephone | 7275266483 |
| Mailing Telephone | 7275266483 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2011-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9170633 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4040 49TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-5734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699845321 | Jessica Baldwin | Nurse Practitioner | 4040 49th St N, St Petersburg, FL 33709-5734 | 2006-11-09 |
| 1073954665 | Nicole M Love | Nurse Practitioner | 4040 49th St N, St Petersburg, FL 33709-5734 | 2013-07-11 |
| 1346581840 | Rhonda C Hartley | Nurse Practitioner | 4040 49th St N, St Petersburg, FL 33709-5734 | 2013-03-07 |
| 1891833554 | Evening Pediatrics, Inc | Pediatrics | 4040 49th St N, St Petersburg, FL 33709-5734 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1811496177 | Kelly Caseber | Nurse Practitioner | 601 5th St S Ste 605, St Petersburg, FL 33701-4804 | 2018-02-01 |
| 1104288463 | Cristina Rondolino | Nurse Practitioner | 601 5th Ave N, St Petersburg, FL 33701-2201 | 2016-03-25 |
| 1548620933 | Rebecca Berger | Nurse Practitioner | 501 5th Ave S, All Children's Hospital, St Petersburg, FL 33701 | 2016-02-29 |
| 1811238413 | Aleshia Jeanette Pringle | Nurse Practitioner | 601 5th St S # Occ306, St Petersburg, FL 33701-4804 | 2013-03-06 |
| 1992008395 | Rosemary Greechan Sexton | Nurse Practitioner | 1048 N Shore Dr Ne, #3, St Petersburg, FL 33701-1438 | 2010-12-07 |
| 1770810517 | Sheila Renee Lacavera | Nurse Practitioner | 4278 28th St N, St Petersburg, FL 33714-3922 | 2009-11-16 |
| 1285822163 | Paula L Zakrzewski | Nurse Practitioner | 601 5th St S Ste 5, St Petersburg, FL 33701-4804 | 2007-10-04 |
| 1609091529 | Joanne E Christopher | Nurse Practitioner | 601 5th St S Ste 504, St Petersburg, FL 33701-4804 | 2007-04-16 |
| 1699845321 | Jessica Baldwin | Nurse Practitioner | 4040 49th St N, St Petersburg, FL 33709-5734 | 2006-11-09 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on MS. TINA LOUISE VAN DOREN.
| 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.