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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 007190500 | 05 | |
FL | BCBS OF FL | Y0E9G | 01 |
Street Address |
615 E PRINCETON ST SUITE 510 |
City | ORLANDO |
State | FL |
Zip Code | 32803-1456 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 32803 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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 |
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.