MICHAEL JAMES MONGIELLO (NPI# 1265942791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265942791 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES MONGIELLO |
| Credential | MSN, MA, NP-C, RN |
| Practice Address |
8925 Colonial Center Dr Ste 2001 Fort Myers FL 33905 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439567 |
| Practice Fax Number | 2393436571 |
| Mailing Telephone | 2393439567 |
| Mailing Fax Number | 2393439571 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
APRN9382978 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022992200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9764 Bay Harbor Cir Apt 203, Fort Myers, FL 33919 | 5169653506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153041 | Michael Mongiello | Nurse Anesthetist, Certified Registered | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-04-22 |
| Street Address |
8925 COLONIAL CENTER DR STE 2001 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386850832 | Bianca Ferrari | Internal Medicine | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905-7813 | 2007-05-14 |
| 1457904336 | Roberta Joyce Marino | Clinical Nurse Specialist | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905-7813 | 2019-07-19 |
| 1770905838 | Victor Howell | Clinical Nurse Specialist | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 | 2014-01-09 |
| 1639440936 | Michelle Daddario | Clinical Nurse Specialist | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 | 2012-01-18 |
| 1740584275 | Dee A Steeb | Physician Assistant | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905-7813 | 2010-12-23 |
| 1518156959 | Venkata Krishna Jayanth Parsa | Internal Medicine | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 | 2007-10-22 |
| 1699986190 | Luiz Otavio Pita De Oliveira | Internal Medicine | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 364SX0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033512967 | Jennifer Vega | Clinical Nurse Specialist | 9981 S Healthpark Dr, Suite 156, Fort Myers, FL 33908-3618 | 2014-10-07 |
| 1770905838 | Victor Howell | Clinical Nurse Specialist | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 | 2014-01-09 |
| 1639440936 | Michelle Daddario | Clinical Nurse Specialist | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427434737 | Susan Kunkel | Clinical Nurse Specialist | 311 Golf Rd Ste 1000, West Palm Beach, FL 33407-5501 | 2015-08-10 |
| 1972935468 | Allison Ann De Villiers | Clinical Nurse Specialist | 10518 Via De Robina Ct, Clermont, FL 34711-6334 | 2013-08-06 |
| 1912181447 | Monica P Ilievski Arnp Pa | Clinical Nurse Specialist | 8621 Sw 87th Ct, Miami, FL 33173-4553 | 2007-12-19 |
| 1790246775 | Amy E Patterson | Clinical Nurse Specialist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2019-03-30 |
| 1073072203 | Glenda Kaminski | Clinical Nurse Specialist | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-03-18 |
| 1699928721 | Ofelia Rose Betancourt | Clinical Nurse Specialist | 1150 N 35th Ave, Suite 170, Hollywood, FL 33021-5424 | 2008-11-03 |
| 1235313578 | Anita Frost-lindenblad | Clinical Nurse Specialist | 490 N Washington Ave, Titusville, FL 32796-2871 | 2007-12-21 |
| 1134317530 | Judith Luck | Clinical Nurse Specialist | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2007-10-10 |
| 1801883871 | Pamela Kay Bolton | Clinical Nurse Specialist | 9981 S Healthpark Dr, Suite 156, Ft Myers, FL 33908 | 2005-10-04 |
| City | FORT MYERS |
| Zip Code | 33905 |
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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.