URSULA N NKWANTABISA (NPI# 1174181754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174181754 |
Entity Type | Individual |
Full Name | URSULA N NKWANTABISA |
Practice Address |
1704 Cartier Pl Fort Walton Beach FL 32547-5730 |
Practice Telephone | 8506877890 |
Mailing Telephone | 8506877890 |
Enumeration Date | 2019-05-30 |
Last Update Date | 2019-05-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376J00000X | Homemaker | 235901 | FL | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | NA | NA | 01 |
Street Address |
1704 CARTIER PL |
City | FORT WALTON BEACH |
State | FL |
Zip Code | 32547-5730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760036859 | Epifani LLC | Homemaker | 1704 Cartier Pl, Fort Walton Beach, FL 32547-5730 | 2019-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
Find all providers in zip 32547 |
Taxonomy Code | 376J00000X |
Grouping | Nursing Service Related Providers |
Classification | Homemaker |
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760036859 | Epifani LLC | Homemaker | 1704 Cartier Pl, Fort Walton Beach, FL 32547-5730 | 2019-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558172 | Katrina Ann Fils-aime | Homemaker | 501 Goodlette-frank Rd N Ste D100, Naples, FL 34102-5666 | 2020-11-07 |
1538760368 | Tonique L Brown | Homemaker | 563 Little River Loop Apt 148, Altamonte Springs, FL 32714-1746 | 2020-11-06 |
1851992044 | Robin Kelly Tessman | Homemaker | 230 Cumquat Rd Ne, Lake Placid, FL 33852-5951 | 2020-11-04 |
1114526167 | Jennyre Reid | Homemaker | 2471 Nw 175th Ter, Miami Gardens, FL 33056-3611 | 2020-10-21 |
1750989315 | Yonile Derivois | Homemaker | 1849 Buchanan Bay Cir Apt 103, Orlando, FL 32839-1894 | 2020-10-15 |
1992303606 | Tori Vontrese Reddick | Homemaker | 4720 Magnolia Preserve Ave, Winter Haven, FL 33880-5027 | 2020-10-14 |
1346848124 | Seana Williams Shaw | Homemaker | 43 Petey Ct, Ocoee, FL 34761-4429 | 2020-10-13 |
1821696865 | Rhonda Denise Cunningham | Homemaker | 510 E Yonge St, Pensacola, FL 32503-3874 | 2020-10-13 |
1689271249 | Chiqueata Lashay Evans | Homemaker | 304 E 10th Ave, Havana, FL 32333-1918 | 2020-10-07 |
1639776768 | Anyah Poole | Homemaker | 3657 Tyson Green Way, Tallahassee, FL 32310-4963 | 2020-10-01 |
Find all providers with the same taxonomy |
City | FORT WALTON BEACH |
Zip Code | 32547 |
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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.