MICHELE E PEDULLA (NPI# 1295057719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295057719 |
Entity Type | Individual |
Full Name | MICHELE E PEDULLA |
Credential | ARNP |
Practice Address |
5411 Grand Blvd Suite 102 New Port Richey FL 34652-4010 |
Mailing Address |
1802 Clearbrooke Dr Clearwater FL 33760-1429 |
Practice Telephone | 7278492535 |
Practice Fax Number | 7278497157 |
Mailing Telephone | 7278492535 |
Mailing Fax Number | 7278497157 |
Enumeration Date | 2010-02-25 |
Last Update Date | 2020-03-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP1658012 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 306096900 | 05 |
Street Address |
5411 GRAND BLVD SUITE 102 |
City | NEW PORT RICHEY |
State | FL |
Zip Code | 34652-4010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104810381 | Arthur M Schlyer Jr. | Family Medicine | 5411 Grand Blvd, Suite 107, New Port Richey, FL 34652-4011 | 2005-09-02 |
1144693649 | Dr Panicker and Associates LLC | Pediatrics | 5411 Grand Blvd, Suite 102, New Port Richey, FL 34652-4010 | 2015-11-05 |
1841490539 | Ehab M Michael Md Pa | Internal Medicine | 5411 Grand Blvd, Suite 101, New Port Richey, FL 34652-4011 | 2007-07-20 |
1568557742 | Gonzalez & Michael Medical Assoc., P.a. | Internal Medicine | 5411 Grand Blvd, Suite 101, New Port Richey, FL 34652-4011 | 2006-10-04 |
1538195714 | Sonia Read Md Pa | Internal Medicine | 5411 Grand Blvd, Suite 106, New Port Richey, FL 34652-4011 | 2006-06-23 |
1194761080 | Sonia Read | Internal Medicine | 5411 Grand Blvd, Suite 106, New Port Richey, FL 34652-4011 | 2006-06-21 |
1922074830 | Aziz A Alkhafaji | Surgery | 5411 Grand Blvd, Suite 109, New Port Richey, FL 34652-4010 | 2006-02-28 |
1588654222 | Ehab Michael | Internal Medicine | 5411 Grand Blvd, Suite 101, New Port Richey, FL 34652-4011 | 2005-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
Find all providers in zip 34652 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134511744 | Lynn Flynn | Nurse Practitioner | 4804 Rowan Rd, New Port Richey, FL 34653-5609 | 2015-02-19 |
1003217183 | Pediatrics At River's Edge, Inc | Nurse Practitioner | 6352 River Rd, New Port Richey, FL 34652-2241 | 2014-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
Find all providers with the same taxonomy |
City | NEW PORT RICHEY |
Zip Code | 34652 |
Please comment or provide details below to improve the information on MICHELE E PEDULLA.
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.