NELY GABASA VILLAVICENCIO (NPI# 1184890220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184890220 |
| Entity Type | Individual |
| Full Name | NELY GABASA VILLAVICENCIO |
| Credential | R.N |
| Practice Address |
2750 N Mcmullen Booth Rd Suite 102-e Clearwater FL 33761-3362 |
| Practice Telephone | 8139442178 |
| Practice Fax Number | 8133438107 |
| Mailing Telephone | 8139442178 |
| Mailing Fax Number | 8133438107 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2009-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
299993080 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE NUMBER | 299993080 | 01 |
| Street Address |
2750 N MCMULLEN BOOTH RD SUITE 102-E |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386652758 | Harold E Shinitzky | Psychologist | 2750 N Mcmullen Booth Rd, Suite 102-b, Clearwater, FL 33761-3362 | 2006-08-03 |
| 1508128315 | Renttar Enterprise, LLC | In Home Supportive Care | 2750 N Mcmullen Booth Rd, Suite 102e, Clearwater, FL 33761-3362 | 2012-06-08 |
| 1932211893 | Douglas Robert Ramm | Psychologist | 2750 N Mcmullen Booth Rd, Suite 102b, Clearwater, FL 33761-3362 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419187 | Superior Choice Physicians Inc | Registered Nurse | 600 Bypass Dr Ste 115, Clearwater, FL 33764-5030 | 2020-08-26 |
| 1285057687 | Kathleen Sullivan | Registered Nurse | 2380 Timbercrest Cir W, Clearwater, FL 33763-1624 | 2014-01-22 |
| 1255333985 | Roberta M. Reisler | Registered Nurse | 2462 Brazilia Dr, Clearwater, Clearwater, FL 33763-3729 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697350 | Karen Y Barahona | Registered Nurse | 3059 Barry Rd, North Port, FL 34286-9006 | 2020-10-26 |
| 1942809066 | Welcome Group Home LLC | Registered Nurse | 8616 White Cay, West Palm Beach, FL 33411-5545 | 2020-10-20 |
| 1508465725 | Mahanaim Home Care | Registered Nurse | 2750 N 29th Ave Ste 218b, Hollywood, FL 33020-1521 | 2020-10-19 |
| 1033717236 | Tansha Fuller | Registered Nurse | 8606 N 10th St, Tampa, FL 33604-1712 | 2020-10-12 |
| 1457960809 | Trumed Home Health Services LLC | Registered Nurse | 1064 W Highway 50 Ste 210, Clermont, FL 34711-2835 | 2020-07-30 |
| 1285243162 | Robine Duprena | Registered Nurse | 2933 W Cypress Creek Rd Ste 201e, Ft Lauderdale, FL 33309-1760 | 2020-07-27 |
| 1598373250 | Naomi David Julmus | Registered Nurse | 26 Sw 21st Pl, Cape Coral, FL 33991-1346 | 2020-07-20 |
| 1164030235 | Grandpa Home Health, LLC | Registered Nurse | 3044 S Military Trl Ste J, Lake Worth, FL 33463-2112 | 2020-07-15 |
| 1457979494 | Ilianna Polatos-quintero | Registered Nurse | 17902 Nw 81st Ct, Hialeah, FL 33015-2847 | 2020-07-07 |
| 1568089704 | Priscilla D Davis | Registered Nurse | 100 Sparrow Dr Apt 9, Royal Palm Beach, FL 33411-1616 | 2020-07-04 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
Please comment or provide details below to improve the information on NELY GABASA VILLAVICENCIO.
| 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.