MS. MARANDA GARDNER (NPI# 1124569165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124569165 |
| Entity Type | Individual |
| Full Name | MS. MARANDA GARDNER |
| Practice Address |
2272 Clover Ridge Ct Eagle Lake FL 33839-3917 |
| Practice Telephone | 8636172728 |
| Mailing Telephone | 8636172728 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
2272 CLOVER RIDGE CT |
| City | EAGLE LAKE |
| State | FL |
| Zip Code | 33839-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194841056 | Jennifer L Griffith | Physical Therapy Assistant | 260 South Shore Dr., Eagle Lake, FL 33839 | 2007-03-22 |
| 1700417490 | John Donald Blackburn II | Specialist/Technologist | 1995 Thunder Rd, Eagle Lake, FL 33839-3086 | 2020-01-31 |
| 1497205512 | Kristina Garcia | General Acute Care Hospital | 200 Vista View Ave, Eagle Lake, FL 33839-3264 | 2016-10-13 |
| 1184962607 | Darmecia Mckay | Occupational Therapist | 855 Eagle Lake Loop Rd W, Eagle Lake, FL 33839-5619 | 2013-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417490 | John Donald Blackburn II | Specialist/Technologist | 1995 Thunder Rd, Eagle Lake, FL 33839-3086 | 2020-01-31 |
| 1023598737 | Patricia Marie Eagle | Occupational Therapy Assistant | 535 S Austin Rd, Eagle Lake, TX 77434-3001 | 2018-08-21 |
| 1013418466 | Linda Harris | Technician | 1776 Strickland Ln, Eagle Lake, TX 77434-7082 | 2018-02-21 |
| 1346758208 | Rachelle Shorter | Home Health | 818 E D St, Eagle Lake, TX 77434-2628 | 2018-01-12 |
| 1144748427 | Jessica Capri Smolik | Nurse Practitioner | 600 Austin Rd, Eagle Lake, TX 77434-1510 | 2017-09-06 |
| 1851821763 | Brenda Joyce Cunningham | Nursing Home Administrator | 1798 Strickland Ln, Eagle Lake, TX 77434-7082 | 2017-06-13 |
| 1497205512 | Kristina Garcia | General Acute Care Hospital | 200 Vista View Ave, Eagle Lake, FL 33839-3264 | 2016-10-13 |
| 1477920080 | Lynne Pelletier | Registered Nurse | 24 Simard Lane, Eagle Lake, ME 04739-0307 | 2015-08-31 |
| 1619362167 | Elena Marie Hernandez-lee | Registered Nurse | 409 Linda Dr, Eagle Lake, MN 56024-9618 | 2015-04-01 |
| 1376940171 | Abdulahi Osman | Contractor | 248 Oak Dr, Eagle Lake, MN 56024-3404 | 2014-11-24 |
| Find all providers in EAGLE LAKE | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305114 | Independent Solution of Central Florida Inc | Home Health Aide | 8517 Sugar Palm Ct, Orlando, FL 32835-8039 | 2020-10-27 |
| 1518566058 | Yarima Coto Armentero | Home Health Aide | 9545 Sw 24th St Apt B201, Miami, FL 33165-8079 | 2020-10-24 |
| 1730788662 | Deandrea Moore | Home Health Aide | 379 Macon Dr, Titusville, FL 32780-9106 | 2020-10-21 |
| 1144829151 | Demetria Denisha Bryant | Home Health Aide | 5503 Eartha Dr, Jacksonville, FL 32209-2141 | 2020-10-21 |
| 1679172001 | Tammy T Williams | Home Health Aide | 1317 Edgewater Dr Ste 2083, Orlando, FL 32804-6350 | 2020-10-17 |
| 1649878661 | Zakila Reid | Home Health Aide | 2915 54th Dr E Unit 204, Bradenton, FL 34203-8432 | 2020-10-12 |
| 1255939385 | Sharon Denise Beeks | Home Health Aide | 1250 Brookwood Forest Blvd Apt 2203, Jacksonville, FL 32225-9073 | 2020-10-12 |
| 1053918482 | Jena Luzanne Williams | Home Health Aide | 12718 Longcrest Dr, Riverview, FL 33579-4001 | 2020-10-08 |
| 1659978187 | Van Tran | Home Health Aide | 4417 E Bennett St, Inverness, FL 34453-3520 | 2020-10-07 |
| 1891302576 | Necole D Daniels | Home Health Aide | 6006 Anderson Rd, Jacksonville, FL 32244-1917 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE LAKE |
| Zip Code | 33839 |
Please comment or provide details below to improve the information on MS. MARANDA GARDNER.
| 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.