URSULA N NKWANTABISA


Address: 1704 Cartier Pl, Fort Walton Beach, FL 32547-5730
Phone: 8506877890

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376J00000X Homemaker 235901 FL Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL NA NA 01

Office Location

Street Address 1704 CARTIER PL
City FORT WALTON BEACH
State FL
Zip Code 32547-5730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760036859 Epifani LLC Homemaker 1704 Cartier Pl, Fort Walton Beach, FL 32547-5730 2019-07-28

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 376J00000X
Grouping Nursing Service Related Providers
Classification Homemaker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760036859 Epifani LLC Homemaker 1704 Cartier Pl, Fort Walton Beach, FL 32547-5730 2019-07-28

Providers in the same taxonomy and state

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
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Competitor

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City FORT WALTON BEACH
Zip Code 32547

Improve Information

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Dataset Information

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.

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