DEBRA PEDERSEN (NPI# 1275618530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275618530 |
| Entity Type | Individual |
| Full Name | DEBRA PEDERSEN |
| Credential | ARNP |
| Practice Address |
1301 Hodges Dr Tallahassee FL 32308-4614 |
| Practice Telephone | 8504315714 |
| Practice Fax Number | 8504316403 |
| Mailing Telephone | 8504315714 |
| Mailing Fax Number | 8504316403 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1018582 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568672590 | Debra Durando Pedersen | Occupational Therapist | 13950 Milton Ave, Suite #306, Westminster, CA 92683-2900 | 2007-05-22 |
| Street Address |
1301 HODGES DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710965843 | Heather Stroh | Midwife | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2006-01-09 |
| 1083222160 | Misty Leeana Gangar | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-07-15 |
| 1366050528 | Thandi Walters | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-07-14 |
| 1356969653 | Paul Anthony Junior Mcfarlane | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-07-13 |
| 1609491638 | Molly Mckinney | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1518582543 | Dylan Petkus | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1427673458 | Alexis Jibril | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1700401734 | Katherine Cone | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1619592649 | Joseph Chen | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| 1528683554 | Kyle Andrew Webster | Student in an Organized Health Care Education/Training Program | 1301 Hodges Dr, Tallahassee, FL 32308-4614 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486503 | Stephanie Patricia Chandler | Nurse Practitioner | 2221 Orange Ave E Apt 215, Tallahassee, FL 32311-6154 | 2020-10-30 |
| 1205435641 | Lillie Ruth Green | Nurse Practitioner | 1317 Blossom Cir, Tallahassee, FL 32305-6707 | 2020-10-17 |
| 1619594124 | Andriece Sampson | Nurse Practitioner | 1400 Village Square Blvd # 3-81600, Tallahassee, FL 32312-1250 | 2020-06-30 |
| 1598381519 | Marcelle Laurene Frehn | Nurse Practitioner | 2009 Miccosukee Rd Ste A, Tallahassee, FL 32308-5364 | 2020-06-25 |
| 1629693734 | Sara E Poslaiko | Nurse Practitioner | 4917 Vernon Rd, Tallahassee, FL 32317-7136 | 2020-06-15 |
| 1316562507 | Amanda Jean Simpson | Nurse Practitioner | 4405 Wesley Dr, Tallahassee, FL 32303-2447 | 2020-06-12 |
| 1255956934 | Kayla Anne Juszczyk | Nurse Practitioner | 2276 Wabash Trl, Tallahassee, FL 32303-8370 | 2020-06-09 |
| 1396367306 | Altheria Smith | Nurse Practitioner | 1537 Belmont Trce, Tallahassee, FL 32301-2814 | 2020-05-13 |
| 1922570837 | Jeremy Russell Fritzsche | Nurse Practitioner | 3554 Loma Farm Rd, Tallahassee, FL 32309-6324 | 2018-12-18 |
| 1902374002 | Ralph Michael Crowther | Nurse Practitioner | 1492 Applewood Way, Tallahassee, FL 32312-8085 | 2018-11-06 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on DEBRA PEDERSEN.
| 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.