MS. DIANA THERESA BURCHETT (NPI# 1275030629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275030629 |
| Entity Type | Individual |
| Full Name | MS. DIANA THERESA BURCHETT |
| Credential | APRN |
| Practice Address |
128 E Brandon Blvd Brandon FL 33511-5219 |
| Practice Telephone | 8139155459 |
| Practice Fax Number | 8133247361 |
| Mailing Telephone | 8139155459 |
| Mailing Fax Number | 8133247361 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9234499 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508804865 | Diana Lynn Burchett | Specialist/Technologist, Other | 502 Farrell Dr, Covington, KY 41011-3717 | 2006-06-02 |
| Street Address |
128 E BRANDON BLVD |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497760698 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 128 E Brandon Blvd, Brandon, FL 33511-5219 | 2006-07-29 |
| 1811373202 | Jennifer Lynn Cochran | Nurse Practitioner | 128 E Brandon Blvd, Brandon, FL 33511 | 2015-08-07 |
| 1871859439 | Laura E. Jones | Nurse Practitioner | 128 E Brandon Blvd, Brandon, FL 33511 | 2012-04-09 |
| 1538431424 | Fade Zelaya | Pharmacist | 128 E Brandon Blvd, Brandon, FL 33511-5219 | 2012-02-07 |
| 1821370909 | Kristin Ann Stip | Pharmacist | 128 E Brandon Blvd, Brandon, FL 33511-5219 | 2011-09-14 |
| 1891077970 | Aaron Sung Hong | Pharmacist | 128 E Brandon Blvd, Brandon, FL 33511-5219 | 2011-09-14 |
| 1730273632 | Beverly Yeshion Roetter | Nurse Practitioner | 128 E Brandon Blvd, Brandon, FL 33511-5219 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1649888769 | Oriberto Iparraguirre Gongora | Nurse Practitioner | 623 Barkfield Loop, Brandon, FL 33511-7121 | 2020-07-14 |
| 1518585603 | Kelsey Blair Edwards | Nurse Practitioner | 1645 W Government St Ste F, Brandon, MS 39042-4602 | 2020-07-06 |
| 1942825088 | Rochelsey Mcdonald | Nurse Practitioner | 185 Holmar Dr, Brandon, MS 39047-9550 | 2020-06-15 |
| 1831718790 | Rezilient Hope LLC | Nurse Practitioner | 1307 Gulf Stream Cir Apt 102, Brandon, FL 33511-2819 | 2020-04-10 |
| 1841829777 | Jasmine M Crosby | Nurse Practitioner | 227 Greenfield Xing, Brandon, MS 39042-8701 | 2020-04-02 |
| 1790311215 | Jennifer Lindsey Meyer | Nurse Practitioner | 205 S Moon Ave Ste 103, Brandon, FL 33511-5716 | 2020-03-16 |
| 1699336628 | April Dawn Randle | Nurse Practitioner | 609 Castlewoods Blvd, Brandon, MS 39047-7357 | 2019-06-20 |
| 1861052243 | Sara Rodriguez | Nurse Practitioner | 1721 S Kings Ave, Brandon, FL 33511-6220 | 2019-06-18 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| Find all providers in BRANDON | ||||
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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.