BANDULA WIJEWARDENA (NPI# 1285153858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285153858 |
| Entity Type | Individual |
| Full Name | BANDULA WIJEWARDENA |
| Credential | ARNP |
| Practice Address |
5301 S Congress Ave Atlantis FL 33462-1149 |
| Mailing Address |
5760 Teakwood Rd Lake Worth FL 33467-6347 |
| Practice Telephone | 2818545942 |
| Mailing Telephone | 2818545942 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP9364931 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9364931 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9364931 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9364931 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5301 S CONGRESS AVE |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767543 | Marcos Agustin Nores | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5301 S Congress Ave, Suite 300, Atlantis, FL 33462-1149 | 2005-08-10 |
| 1861091308 | Herold Jean Francois | Nurse Practitioner | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-10-24 |
| 1942808803 | Collette Danielle Robbins | Registered Nurse | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-10-13 |
| 1528666591 | Alteon Health Florida Hm, LLC | Hospitalist | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-10-13 |
| 1952909061 | Alteon Health Florida, LLC | Emergency Medicine | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-10-12 |
| 1194341545 | Wislande Gilles | Nurse Practitioner | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-06-22 |
| 1346864642 | Kylie Perez | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-06-02 |
| 1801423868 | Can Jones | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-03-26 |
| 1134756190 | Tammy Luan | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-03-26 |
| 1063048999 | Robert Clements | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861934069 | Jennifer Paciletti | Nurse Practitioner | 180 Jfk Dr Ste 320, Atlantis, FL 33462 | 2016-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
| 1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
| 1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
| 1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
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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.