BRANDY SUE MEDHURST (NPI# 1275861627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275861627 |
| Entity Type | Individual |
| Full Name | BRANDY SUE MEDHURST |
| Credential | ARNP-C |
| Practice Address |
2115 E Hillsborough Ave Tampa FL 33610-8211 |
| Mailing Address |
12470 Telecom Dr Ste 100 Temple Terrace FL 33637-0904 |
| Practice Telephone | 8139155459 |
| Practice Fax Number | 8135149605 |
| Mailing Telephone | 8139155459 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9221917 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2115 E HILLSBOROUGH AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-8211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568644235 | Deborah J Cantero | Nurse Practitioner | 2115 E Hillsborough Ave, Tampa, FL 33610-8211 | 2007-12-04 |
| 1770195141 | Alyssa Noelle Carson | Pharmacist | 2115 E Hillsborough Ave, Tampa, FL 33610-8211 | 2020-08-18 |
| 1619411089 | Dina Laveaux | Nurse Practitioner | 2115 E Hillsborough Ave, Tampa, FL 33610-8211 | 2016-12-05 |
| 1700157427 | Sonia John | Pharmacist | 2115 E Hillsborough Ave, Tampa, FL 33610-8204 | 2012-01-26 |
| 1891065736 | Alex Mcdonald IIi | Pharmacist | 2115 E Hillsborough Ave, Tampa, FL 33610-8204 | 2012-01-10 |
| 1043589567 | Mellisa Gray | Pharmacist | 2115 E Hillsborough Ave, Tampa, FL 33610-8204 | 2011-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153278 | Desirae A. Segura | Nurse Practitioner | 8218 Marauder Dr, Tampa, FL 33621-1426 | 2020-10-29 |
| 1750980173 | Vanessa P Criales | Nurse Practitioner | 4708 Pebblepointe Pl, Tampa, FL 33634-6271 | 2020-10-19 |
| 1023616778 | Latoya Tanique Sinclair | Nurse Practitioner | 4121 E Busch Blvd Apt 804, Tampa, FL 33617-5970 | 2020-10-14 |
| 1801403068 | Krystal G Solie | Nurse Practitioner | 14105 Mccormick Dr, Tampa, FL 33626-3019 | 2020-09-30 |
| 1578179784 | Brooke Sliman | Nurse Practitioner | 403 S Albany Ave Unit 2, Tampa, FL 33606-2180 | 2020-09-22 |
| 1538773791 | Cindy Irene Gearheart | Nurse Practitioner | 7712 W Powhatan Ave, Tampa, FL 33615-4133 | 2020-09-04 |
| 1447864921 | Kimberly Marie Hymiller | Nurse Practitioner | 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 | 2020-09-02 |
| 1508479841 | Andrea Mole | Nurse Practitioner | 5035 E Busch Blvd Ste 1a&1b, Tampa, FL 33617-5310 | 2020-08-26 |
| 1467065896 | Cho Yee Mon Maung | Nurse Practitioner | 2606 W Waters Ave, Tampa, FL 33614-1835 | 2020-08-25 |
| 1235741141 | Luis V Amat | Nurse Practitioner | 2301 W Clifton St, Tampa, FL 33603-1027 | 2020-08-21 |
| Find all providers in TAMPA | ||||
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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.