ELENA U KESTERSON (NPI# 1235217191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235217191 |
| Entity Type | Individual |
| Full Name | ELENA U KESTERSON |
| Credential | PA |
| Practice Address |
1415 E Venice Ave Venice FL 34292-3064 |
| Mailing Address |
151 Southhall Ln Ste 300 Maitland FL 32751-7172 |
| Practice Telephone | 9414885300 |
| Practice Fax Number | 9414121003 |
| Mailing Telephone | 9414885300 |
| Mailing Fax Number | 9414121003 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1383 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1415 E VENICE AVE |
| City | VENICE |
| State | FL |
| Zip Code | 34292-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193729 | Adam Scott Greenberg | Dermatology | 1415 E Venice Ave, Venice, FL 34292-3064 | 2005-09-07 |
| 1205451366 | Jessica Wyckoff | Nurse Practitioner | 1415 E Venice Ave, Venice, FL 34292-3064 | 2020-06-14 |
| 1073578449 | Dermatology Institute of Southwest Florida Inc | Dermatology | 1415 E Venice Ave, Venice, FL 34292-3064 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730250 | Ciara O'connor | Physician Assistant | 836 Sunset Lake Blvd Ste 102, Venice, FL 34292-7555 | 2019-09-25 |
| 1386005585 | Maris Smith | Physician Assistant | 429 Park Lane Dr, Venice, FL 34285-1424 | 2016-03-15 |
| 1205259108 | Michelle Emily Fallis | Physician Assistant | 8431 Pointe Loop Dr Fl 1, Venice, FL 34293 | 2014-01-28 |
| 1942556121 | Charles Michael Kayat | Physician Assistant | 109 Venice Palms Blvd, Venice, FL 34292-2446 | 2012-07-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1265669311 | James E Asaph | Physician Assistant | 1505 Tamiami Trl S Ste 405, Venice, FL 34285-5547 | 2009-06-16 |
| 1922167550 | Krista Rene Gorman | Physician Assistant | 959 E Venice Ave, Venice, FL 34285-7056 | 2006-12-08 |
| 1851472187 | Michael A Banuchi | Physician Assistant | 1295 Jacaranda Blvd., Venice, FL 34292-4522 | 2006-10-17 |
| 1679669402 | Barbara B. Burke | Physician Assistant | 516 Venezia Pkwy, Venice, FL 34285 | 2006-10-05 |
| 1073525655 | Ryan Beadle | Physician Assistant | 21550 Angela Ln, Venice, FL 34293-2017 | 2006-08-12 |
| Find all providers in VENICE | ||||
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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.