INTACT PATHWAYS, INC. (NPI# 1134564362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134564362 |
| Entity Type | Organization |
| Organization Name | INTACT PATHWAYS, INC. |
| Practice Address |
4830 W Kennedy Blvd Suite 600 Tampa FL 33609-2564 |
| Mailing Address |
Po Box 73126 Houston TX 77273-3126 |
| Practice Telephone | 8556946626 |
| Practice Fax Number | 8556946626 |
| Mailing Telephone | 8556946626 |
| Mailing Fax Number | 8556946626 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-06-11 |
| Authorized Official Name | MR. STEVEN PURDON (PRESIDENT) |
| Authorized Official Telephone | 8325853897 |
| Authorized Official Credential | CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4830 W KENNEDY BLVD SUITE 600 |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538110028 | Garrett B Gause I | Family Medicine | 4830 W Kennedy Blvd, Ste 440, Tampa, FL 33609-2564 | 2006-05-12 |
| 1033500293 | Katrina Riley | Nurse Practitioner | 4830 W Kennedy Blvd, #440, Tampa, FL 33609-2564 | 2015-02-10 |
| 1871990820 | Elizabeth Harden | Counselor | 4830 W Kennedy Blvd, Suite 600, Tampa, FL 33609-2564 | 2014-11-19 |
| 1972935344 | Christel Fehr | Nurse Practitioner | 4830 W Kennedy Blvd, One Urban Center, Suite 400, Tampa, FL 33609-2564 | 2013-08-07 |
| 1265664031 | Tina M Taylor | Nurse Practitioner | 4830 W Kennedy Blvd, Suite 600, Tampa, FL 33609-2564 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848777 | Elizabeth Christine Brechner | Specialist/Technologist, Other | 13334 Canopy Grove Dr Apt 202, Tampa, FL 33625-4165 | 2020-10-16 |
| 1194381129 | Brian Napert | Specialist/Technologist, Other | 9319 Deer Creek Dr, Tampa, FL 33647-2287 | 2019-05-15 |
| 1336604149 | Florida Neurology Associates, LLC | Specialist/Technologist, Other | 100 S Ashley Dr Ste 600-101, Tampa, FL 33602-5304 | 2019-02-06 |
| 1073010096 | Abigail Spurgin Vaka | Specialist/Technologist, Other | 2104 W Hills Ave Apt 307, Tampa, FL 33606-3171 | 2018-04-06 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1275038366 | Myra Gonzalez | Specialist/Technologist, Other | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2018-03-29 |
| 1992160139 | Integrity Neuromonitoring, LLC | Specialist/Technologist, Other | 19005 Falcons Pl, Tampa, FL 33647-2494 | 2015-12-15 |
| 1295152023 | Induk Chung | Specialist/Technologist, Other | 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609-2584 | 2014-03-18 |
| 1649695958 | Raul Rodriguez | Specialist/Technologist, Other | 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609-2584 | 2014-02-24 |
| 1598186611 | Stephanie Paraiso | Specialist/Technologist, Other | 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609-2584 | 2013-12-16 |
| Find all providers in TAMPA | ||||
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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.