MRS. TINA BROCK FALLEN (NPI# 1174515423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174515423 |
| Entity Type | Individual |
| Full Name | MRS. TINA BROCK FALLEN |
| Credential | ARNP |
| Practice Address |
515 S Kings Ave Ste 3100 Brandon FL 33511-6060 |
| Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
| Practice Telephone | 8136819171 |
| Practice Fax Number | 8136817580 |
| Mailing Telephone | 8132860033 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP3394792 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
515 S KINGS AVE STE 3100 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134531676 | Karem Alvarez | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2014-06-02 |
| 1891134227 | Lauren A.m. Davis | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2013-06-19 |
| 1336494426 | Jennifer Lopez Troy | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2012-07-16 |
| 1063779338 | Melissa Yvonne Greenwood | Nurse Practitioner | 515 S Kings Ave Ste 3100, Brandon, FL 33511-5921 | 2012-04-11 |
| 1750672895 | Sarasija Nagella | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2011-04-24 |
| 1275846115 | Amber R Strazzulla | Physician Assistant | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2010-07-21 |
| 1669606331 | Maya Dhanani Kamath | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2009-05-11 |
| 1528263456 | Steven M Granger | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2007-06-20 |
| 1184612111 | Lisa A Martin | Nurse Practitioner | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2005-10-13 |
| 1841286895 | Maruja Fernandez | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2005-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1649888769 | Oriberto Iparraguirre Gongora | Nurse Practitioner | 623 Barkfield Loop, Brandon, FL 33511-7121 | 2020-07-14 |
| 1518585603 | Kelsey Blair Edwards | Nurse Practitioner | 1645 W Government St Ste F, Brandon, MS 39042-4602 | 2020-07-06 |
| 1942825088 | Rochelsey Mcdonald | Nurse Practitioner | 185 Holmar Dr, Brandon, MS 39047-9550 | 2020-06-15 |
| 1831718790 | Rezilient Hope LLC | Nurse Practitioner | 1307 Gulf Stream Cir Apt 102, Brandon, FL 33511-2819 | 2020-04-10 |
| 1841829777 | Jasmine M Crosby | Nurse Practitioner | 227 Greenfield Xing, Brandon, MS 39042-8701 | 2020-04-02 |
| 1790311215 | Jennifer Lindsey Meyer | Nurse Practitioner | 205 S Moon Ave Ste 103, Brandon, FL 33511-5716 | 2020-03-16 |
| 1699336628 | April Dawn Randle | Nurse Practitioner | 609 Castlewoods Blvd, Brandon, MS 39047-7357 | 2019-06-20 |
| 1861052243 | Sara Rodriguez | Nurse Practitioner | 1721 S Kings Ave, Brandon, FL 33511-6220 | 2019-06-18 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| Find all providers in BRANDON | ||||
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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.