ALEXANDRA DOMINIQUE KOELTZOW (NPI# 1205498078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205498078 |
| Entity Type | Individual |
| Full Name | ALEXANDRA DOMINIQUE KOELTZOW |
| Credential | APRN |
| Practice Address |
9400 Turkey Lake Rd # Mp453 Orlando FL 32819-8001 |
| Mailing Address |
8850 Abbotsbury Dr Windermere FL 34786-6708 |
| Practice Telephone | 3218422655 |
| Mailing Telephone | 4072019163 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN9390112 | FL | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 11003194 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7319 Stonerock Cir Ste 106, Orlando, FL 328198002 | 4072489800 | |
| 9400 Turkey Lake Rd # Mp453, Orlando, FL 328198001 | 3218422655 |
| Street Address |
9400 TURKEY LAKE RD # MP453 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395125 | Olayemi Olusola Agbaje | Nurse Practitioner | 5900 Lake Ellenor Dr Ste 150, Orlando, FL 32809-4663 | 2020-10-27 |
| 1871192054 | Maria Lena Afxendiou | Nurse Practitioner | 11058 Grande Pines Cir Apt 821, Orlando, FL 32821-9333 | 2020-10-20 |
| 1396352316 | Erin Fahy | Nurse Practitioner | 2737 Rainbow Springs Ln, Orlando, FL 32828-7783 | 2020-09-24 |
| 1093321457 | Sherry Benson Loiselle | Nurse Practitioner | 19407 Charrice Ct, Orlando, FL 32833-5528 | 2020-09-21 |
| 1861003949 | Raul Junior Beltran | Nurse Practitioner | 1612 E Central Blvd, Orlando, FL 32803-5902 | 2020-08-12 |
| 1780202945 | Vivi Nguyen | Nurse Practitioner | 1700 Sand Lake Rd Ste D112, Orlando, FL 32809-9149 | 2020-07-13 |
| 1902424385 | Estel Angelika Hernandez | Nurse Practitioner | 16039 Old Cheney Hwy, Orlando, FL 32833-2716 | 2020-07-11 |
| 1801414727 | Teresa A Kamps | Nurse Practitioner | 1850 Oak Grove Chase Dr, Orlando, FL 32820-2265 | 2020-07-07 |
| 1073130688 | Iris N Bosse | Nurse Practitioner | 10401 Post Office Blvd W Unit 621212, Orlando, FL 32862-8485 | 2020-06-30 |
| 1902430473 | Faith Daza | Nurse Practitioner | 14315 Golden Rain Tree Blvd, Orlando, FL 32828-4843 | 2020-02-24 |
| Find all providers in ORLANDO | ||||
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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.