KRISTIN LEA HOOD PROVENCHER


Address: 615 E Princeton St, Suite 510, Orlando, FL 32803-1456
Phone: 4078981210

KRISTIN LEA HOOD PROVENCHER (NPI# 1215280037) 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) 1215280037
Entity Type Individual
Full Name KRISTIN LEA HOOD PROVENCHER
Credential CPNP-PC
Practice Address 615 E Princeton St
Suite 510
Orlando
FL 32803-1456
Mailing Address Po Box 691597
Orlando
FL 32869-1597
Practice Telephone 4078981210
Practice Fax Number 4078982909
Mailing Telephone 4078981210
Mailing Fax Number 4078982909
Enumeration Date 2012-10-17
Last Update Date 2014-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
ARNP 9265639 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 007190500 05
FL BCBS OF FL Y0E9G 01

Office Location

Street Address 615 E PRINCETON ST
SUITE 510
City ORLANDO
State FL
Zip Code 32803-1456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627267 Henry Pickett Dumas Pediatrics 615 E Princeton St, Ste 400, Orlando, FL 32803-1469 2005-05-23
1942722665 Alyssa Brooks Speech-Language Pathologist 615 E Princeton St, Orlando, FL 32803-1456 2017-07-14
1558883256 Susan Robins Physical Therapist 615 E Princeton St, Orlando, FL 32803-1456 2017-07-13
1376915140 Monica V Urquiola Nurse Practitioner 615 E Princeton St, Suite 510, Orlando, FL 32803-1456 2015-10-20
1316341076 Robin Denton Physician Assistant 615 E Princeton St, Suite 310, Orlando, FL 32803-1456 2014-10-09
1043562341 Easter Johnson Nurse Practitioner 615 E Princeton St, Suite 225, Orlando, FL 32803-1456 2012-10-10
1902160070 Moira Leah Al-malt Registered Nurse 615 E Princeton St, Suite 240, Orlando, FL 32803-1456 2012-07-03
1528374485 Darren C Leach Nurse Practitioner 615 E Princeton St, Suite 101, Orlando, FL 32803-1435 2010-08-29
1376869529 Joo Hee Seo Psychiatry & Neurology 615 E Princeton St, Suite 540, Orlando, FL 32803-1456 2010-04-13
1992934889 Jean Santer Johnson Nurse Practitioner 615 E Princeton St, Suite 401, Orlando, FL 32803-1456 2009-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255952636 Laiza Souza Tanner Technician 500 E Rollins St, Orlando, FL 32803 2020-04-27
1407415342 Betty Carrol Marriage & Family Therapist 1516 E Colonial Dr Ste 100, Orlando, FL 32803 2019-06-12
1326606047 Anthony Balingit Physical Therapy Assistant 1870 Aloma Avenue, Orlando, FL 32803 2019-05-29
1396234795 Natasha Le Morvan Technician/Technologist 1364 Ferris Ave, Orlando, FL 32803 2018-05-02
1306365796 Sarah E Fischer Nurse Practitioner Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 2017-09-17
1710404249 Emilia's Direct Care Agency Community/Behavioral Health 3218 E Colonial Dr Rm 118, Orlando, FL 32803 2017-08-25
1760907620 Kalie Brianne Morris Speech-Language Pathologist 1120 Portland Ave Unit 7, Orlando, FL 32803 2017-08-11
1972024271 Tatiana Ungredda Psychologist 5201 Raymond St Ste 424, Orlando, FL 32803 2017-06-28
1063942662 Michael Thomas Licensed Practical Nurse 101 South Bumby Ave, E11, Orlando, FL 32803 2017-06-15
1598209249 Danielle Marin Behavioral Analyst 2807 Edgewater Dr, Orlando, FL 32803 2016-12-15
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851950802 Lindsay Elizabeth Gomes Nurse Practitioner 8410 Shady Glen Dr, Orlando, FL 32819-4179 2019-06-12
1003475211 Allison Leigh Penny Nurse Practitioner 615 E Princeton St Ste 510, Orlando, FL 32803-1424 2019-06-11
1447731708 Shanna Ann Maiorana Nurse Practitioner 4445 S Semoran Blvd Ste A, Orlando, FL 32822-2472 2018-08-24
1467816728 Kara B Kweder Nurse Practitioner 7051 Dr Phillips Blvd Ste 1, Orlando, FL 32819-5140 2016-04-12
1669841698 Rebecca L Archer Nurse Practitioner 2902 N Orange Ave Ste D, Orlando, FL 32804-4655 2015-09-21
1245568054 Jeane Cole Nurse Practitioner 910 Marabon Ave, Orlando, FL 32806-1806 2009-12-07
1578795977 Amber Rose Eastwood Nurse Practitioner 2101 Park Center Dr Ste 100, Orlando, FL 32835-7609 2009-08-18
1720214240 Mindi Ashley Anderson Nurse Practitioner 12201 Research Pkwy Ste 300, Orlando, FL 32826-3265 2009-06-10
1295970408 Mariah P Morris Nurse Practitioner 6000 Turkey Lake Rd Ste 205, Orlando, FL 32819-4206 2008-12-03
1679745517 Kimberlee Artz Nurse Practitioner 92 W Miller St Fl 2, Orlando, FL 32806-2032 2008-04-01
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Competitor

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City ORLANDO
Zip Code 32803

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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