TAYLOR LEIGH VANDERARK (NPI# 1174098933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174098933 |
| Entity Type | Individual |
| Full Name | TAYLOR LEIGH VANDERARK |
| Credential | ARNP |
| Practice Address |
501 Se Osceola St Ste 201 Stuart FL 34994-2334 |
| Mailing Address |
Po Box 9033 Stuart FL 34995-9033 |
| Practice Telephone | 7724192137 |
| Practice Fax Number | 7724192138 |
| Mailing Telephone | 7722235680 |
| Mailing Fax Number | 7722235622 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
9385366 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 104885200 | 05 | |
| FL | FLORIDA BLUE | C364K | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Se Hospital Ave, Stuart, FL 349942346 | 7724192380 |
| Street Address |
501 SE OSCEOLA ST STE 201 |
| City | STUART |
| State | FL |
| Zip Code | 34994-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030731 | Edward B Savage | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 Se Osceola St Ste 201, Stuart, FL 34994-2334 | 2006-02-02 |
| 1922404722 | Frank Joseph Pezzimenti | Physician Assistant | 501 Se Osceola St Ste 201, Stuart, FL 34994-2334 | 2014-11-06 |
| 1639376106 | Brett Alan Beecher | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 Se Osceola St Ste 201, Stuart, FL 34994-2334 | 2007-06-28 |
| 1205976487 | Sean Patrick Alonza Bannister | Physician Assistant | 501 Se Osceola St Ste 201, Stuart, FL 34994-2334 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487111928 | Sarah Lipsey | Nurse Practitioner | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2019-02-20 |
| 1851654743 | Patricia M Testa | Nurse Practitioner | 2100 Se Ocean Blvd, Suite 100, Stuart, FL 34996-3332 | 2012-06-17 |
| 1891081204 | Christine Paula Dorman | Nurse Practitioner | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2011-06-23 |
| 1831187384 | Michelle C Taylor | Nurse Practitioner | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
| 1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
| 1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
| 1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
| 1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
| 1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
| 1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
| 1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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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.