MRS. FARA BACCHUS (NPI# 1235672411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235672411 |
| Entity Type | Individual |
| Full Name | MRS. FARA BACCHUS |
| Other Name | FARA BACCHUS |
| Practice Address |
832 W Central Blvd Orlando FL 32805-1809 |
| Mailing Address |
464 Goldenmoss Loop Ocoee FL 34761-4781 |
| Practice Telephone | 4078581400 |
| Mailing Telephone | 4079637693 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
ARNP 3036332 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020035000 | 05 |
| Street Address |
832 W CENTRAL BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32805-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578537742 | Lynne Adair Hopkins | Internal Medicine | 832 W Central Blvd, Orlando, FL 32805-1809 | 2006-02-15 |
| 1831692763 | Crystal Marie Davis | Dental Hygienist | 832 W Central Blvd, Orlando, FL 32805-1809 | 2018-03-16 |
| 1356874564 | Melisent Diana | Case Manager/Care Coordinator | 832 W Central Blvd, Orlando, FL 32805-1809 | 2017-04-05 |
| 1376916056 | Argentina Clarke | Community Health Worker | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-11-04 |
| 1366812513 | Deanne Kristen Shely | Nurse Practitioner | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-09-30 |
| 1174906689 | Elba Fontanes I | Dietitian, Registered | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-07-01 |
| 1669852307 | Meredith Ewen | Dietitian, Registered | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-06-08 |
| 1518357839 | Ana Ruadobles | Nurse Practitioner | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-01-26 |
| 1144535410 | Angel Aiken-beckett | Registered Nurse | 832 W Central Blvd, Orlando, FL 32805-1809 | 2010-08-11 |
| 1316175854 | Isabel Hudson | Case Manager/Care Coordinator | 832 W Central Blvd, Orlando, FL 32805-1809 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797677 | Gerardo Carlos Dorado | Rehabilitation Hospital | 830 29th Street, Orlando, FL 32805 | 2019-12-18 |
| 1639731557 | Relyancecorp | Non-emergency Medical Transport (VAN) | 15 N Tanpa Ave, Orlando, FL 32805 | 2019-07-01 |
| 1518477231 | Evolution Insight Incorporated | Community/Behavioral Health | 1521 W Washington St, Orlando, FL 32805 | 2017-10-08 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1407238033 | Vickie Marie Ferguson | Social Worker | 3700 34th St Ste 100f, Orlando, FL 32805 | 2015-06-19 |
| 1508248287 | Compassionate Care Community Health Services LLC | In Home Supportive Care | 927 S. Goldwyn Ave, Suite 230, Orlando, FL 32805 | 2015-06-18 |
| 1750772612 | Rx Florida Pharmacy,llc | Pharmacist | 3615 Columbia St, Orlando, FL 32805 | 2015-02-13 |
| 1588053946 | Speech Steps | Speech-Language Pathologist | 2607 Windward Ct., Orlando, FL 32805 | 2015-01-22 |
| 1831597426 | Vonda White | Counselor | 1602 Crooms Ave., Orlando, FL 32805 | 2014-12-12 |
| 1558788653 | Laura F Lucas | Case Management | 750 S. Obt Suite 111, Orlando, FL 32805 | 2014-03-26 |
| Find all providers in zip 32805 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417596883 | Lynne Marie Bustraan | Clinical Nurse Specialist | 52 W Underwood St, Orlando, FL 32806-1110 | 2020-01-02 |
| 1003340167 | Gcare | Clinical Nurse Specialist | 37 N Orange Ave, Suite 500, Orlando, FL 32801-2449 | 2017-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171185 | Amy Christine Smith | Clinical Nurse Specialist | 5901 Bowen Daniel Dr Unit 107, Tampa, FL 33616-1454 | 2020-10-16 |
| 1174099550 | Janet M Farrelly | Clinical Nurse Specialist | 242 Basque Rd, St Augustine, FL 32080-7303 | 2018-10-23 |
| 1972967990 | Advance Premier Network, Corp | Clinical Nurse Specialist | 10621 N. Kendall Dr Suite 214, Miami, FL 33176 | 2016-04-06 |
| 1871952226 | Mklj Corporation | Clinical Nurse Specialist | 301 Se 1st St, Belle Glade, FL 33430-3503 | 2016-02-13 |
| 1487042297 | Joseph Cassamajor | Clinical Nurse Specialist | 1620 Stonehaven Dr Apt 5, Boynton Beach, FL 33436-6535 | 2014-12-31 |
| 1235531229 | Lori J Wesson Arnp, Inc | Clinical Nurse Specialist | 1807 Manasota Beach Rd, Englewood, FL 34223-6462 | 2014-09-22 |
| 1689096943 | Yuneisy Ruiz | Clinical Nurse Specialist | 15542 Sw 8th Ln, Miami, FL 33194-2477 | 2014-01-06 |
| 1821419888 | Susan Hartsfield | Clinical Nurse Specialist | 2235 Lakeshore Dr, Mount Dora, FL 32757-4707 | 2013-12-18 |
| 1780024166 | Marc Peggy Joseph | Clinical Nurse Specialist | 6757 Petunia Dr, Miramar, FL 33023-4850 | 2013-06-28 |
| 1043554694 | Freire-pinto Pa | Clinical Nurse Specialist | 2630 Sw 80th Ave, Miami, FL 33155-2553 | 2012-11-20 |
| Find all providers with the same taxonomy | ||||
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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.