RAICHETON CHEVETTE LE (NPI# 1144879826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144879826 |
Entity Type | Individual |
Full Name | RAICHETON CHEVETTE LE |
Credential | NNP-BC |
Practice Address |
1005 Joe Dimaggio Dr Hollywood FL 33021-5402 |
Mailing Address |
7965 Chiltern Dr Indianapolis IN 46268-2025 |
Practice Telephone | 3176261031 |
Mailing Telephone | 3176261031 |
Enumeration Date | 2019-09-05 |
Last Update Date | 2019-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
0000000 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1005 JOE DIMAGGIO DR |
City | HOLLYWOOD |
State | FL |
Zip Code | 33021-5402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891745154 | Daniel Carvallo | Anesthesiology | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2006-05-10 |
1376142968 | Lisa Farkas | Dietitian, Registered | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-10-23 |
1689271421 | Shelly Levin Pllc | Dentist | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-10-05 |
1710508072 | Kranthi Nomula | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021 | 2020-04-28 |
1366071151 | Meagan Ann Mollergren | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5487 | 2020-04-03 |
1629606876 | Kimberlee Persaud | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5487 | 2020-03-31 |
1013544154 | Melissa Nicole Munroe | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-03-26 |
1699302034 | Jessica Molokie | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-03-25 |
1689201162 | Christine Lopez | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-03-25 |
1902439607 | Sandra Gregorisch | Nurse Practitioner | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2020-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
Find all providers in zip 33021 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366595928 | Roberta Ann Weber | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265860142 | Kristen Fotopoulos | Nurse Practitioner | 12303 Marblehead Dr, Tampa, FL 33626-2509 | 2013-10-31 |
1275883100 | Melissa Kay Lopez | Nurse Practitioner | 501 6th Ave N Dept 6220, St Petersburg, FL 33701-2307 | 2012-09-18 |
1871886788 | Joji Ang | Nurse Practitioner | 17928 Sw 33rd Ct, Miramar, FL 33029-1636 | 2011-05-25 |
1245490168 | Sherie Collins | Nurse Practitioner | 1030 Bella Vista Dr Ne, St Petersburg, FL 33702 | 2008-06-13 |
1609043595 | Nancilee Black | Nurse Practitioner | 11042 63rd Ave, Seminole, FL 33772-6879 | 2008-05-11 |
1609043561 | Paula M Timoney | Nurse Practitioner | 676 Apalachee Cir Ne, St Petersburg, FL 33702-2722 | 2008-05-09 |
1235281841 | Jocquelin V. Jones | Nurse Practitioner | 9676 Sw Glenbrook Dr, Port St Lucie, FL 34987-2405 | 2007-01-17 |
1811941305 | Julie Etta Holmer | Nurse Practitioner | 1300 Sawgrass Corporate Pkwy, Suite 200, Sunrise, FL 33323-2826 | 2006-05-20 |
1609482868 | Anna D Denson | Nurse Practitioner | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-22 |
1992326086 | Amber Renee Daigle | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-30 |
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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.