MRS. KELLI LUGO (NPI# 1245248426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245248426 |
| Entity Type | Individual |
| Full Name | MRS. KELLI LUGO |
| Credential | P.A. |
| Practice Address |
9077 S Federal Hwy Port St Lucie FL 34952-3405 |
| Practice Telephone | 7723354770 |
| Practice Fax Number | 7723354133 |
| Mailing Telephone | 7723987336 |
| Mailing Fax Number | 7723354133 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9107919 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE IDENTIFICATION NUMBER | OPA174151 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 Se Hillmoor Dr, Suite 500, Port St Lucie, FL 349527539 | 7723353200 |
| Street Address |
9077 S FEDERAL HWY |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554784 | Robert I Forster | Orthopaedic Surgery | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2006-01-28 |
| 1477048841 | Rachel Lynn Rouse | Nurse Practitioner | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2018-06-27 |
| 1295147189 | Kathryn Turgeon | Occupational Therapist | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2014-05-27 |
| 1275818478 | Linda Simbritz | Physical Therapist | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2011-10-19 |
| 1902189566 | Celena S Doctor | Occupational Therapist | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2011-09-21 |
| 1043593734 | Lisette Longo | Physical Therapist | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2011-09-20 |
| 1891074050 | Chris Ann Tallbacka | Occupational Therapist | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2011-08-05 |
| 1689963134 | Jason Paul Williams | Physical Medicine & Rehabilitation | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2011-04-06 |
| 1174833115 | Megan L James | Physician Assistant | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2010-10-08 |
| 1144490236 | Kimberly H Henry | Physical Therapist | 9077 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2008-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162905 | Adley Dasilva | Physician Assistant | 1941 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5535 | 2018-01-18 |
| 1033565650 | Jennifer J Ramos | Physician Assistant | 1581 Sw Bayshore Blvd, Port St Lucie, FL 34983 | 2016-05-12 |
| 1972958767 | Premier Surgical Assisting LLC | Physician Assistant | 10297 Sw West Park Ave, Port St Lucie, FL 34987-2118 | 2016-04-28 |
| 1396294419 | Stat Surgical First Assisting | Physician Assistant | 1581 Sw Bayshore Blvd, Port St Lucie, FL 34983 | 2016-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on MRS. KELLI LUGO.
| 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.