ALISSA KAY FUENTES (NPI# 1306447420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306447420 |
| Entity Type | Individual |
| Full Name | ALISSA KAY FUENTES |
| Other Name | ALISSA KAY BRODERICK |
| Credential | PA-C |
| Practice Address |
400 S Swinton Ave Delray Beach FL 33444-3553 |
| Mailing Address |
3335 S Federal Hwy Apt F Boynton Beach FL 33435-8815 |
| Practice Telephone | 5612780000 |
| Mailing Telephone | 7865892361 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9112799 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 S SWINTON AVE |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33444-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851557193 | Drug Abuse Foundation of Palm Beach County, Inc | Substance Abuse Rehabilitation Facility | 400 S Swinton Ave, Delray Beach, FL 33444-3553 | 2008-08-06 |
| 1285265645 | Timothy James Mccarthy | Physician Assistant | 400 S Swinton Ave, Delray Beach, FL 33444-3553 | 2020-02-03 |
| 1992232409 | Tony Leroy King | Substance Abuse Rehabilitation Facility | 400 S Swinton Ave, Delray Beach, FL 33444-3553 | 2017-05-15 |
| 1619404134 | Catherine Sayre Lowe | Substance Abuse Rehabilitation Facility | 400 S Swinton Ave, Delray Beach, FL 33444-3553 | 2017-05-15 |
| 1205362712 | Drug Abuse Foundation | Substance Abuse Rehabilitation Facility | 400 S Swinton Ave, Delray Beach, FL 33444-3553 | 2017-05-03 |
| 1265897904 | Shaleene Persaud-vasquez | General Practice | 400 S Swinton Ave, Delray Beach, FL 33444-3553 | 2015-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942193 | Jeanette Zaneta Denker | Psychologist | 202 N Swinton Avenue, Delray Beach, FL 33444 | 2020-01-28 |
| 1861048290 | Marcus Grey | General Practice | 109 North Swinton Avenue, Delray Beach, FL 33444 | 2019-08-12 |
| 1700367471 | Gracenia Jerome | Physical Therapy Assistant | 821 Sw 3rd Ct, Delray Beach, FL 33444 | 2018-08-22 |
| 1629565650 | Palm Partners, LLC | Substance Abuse Rehabilitation Facility | 707 Linton Blvd., Building D, Delray Beach, FL 33444 | 2018-04-16 |
| 1710474705 | Palm Partners, LLC | Substance Abuse Rehabilitation Facility | 709 Linton Blvd., Building D, Delray Beach, FL 33444 | 2018-04-16 |
| 1942729173 | Jacqueline Channell | Nurse Practitioner | 111 Stone Harbor Way F1, Delray Beach, FL 33444 | 2017-09-19 |
| 1720508708 | Brunia Beaubrun | Clinic/Center | 725 Village Square Cir., Unit 318, Delray Beach, FL 33444 | 2017-06-21 |
| 1023472719 | Turning Point Sober Home | Case Management | 634 Bunting Dr, Delray, FL 33444 | 2016-04-08 |
| 1568829299 | Derek Moore | Chiropractor | 401 W Atlantic Ave Unit 14, Delray Beach, FL 33444 | 2016-01-26 |
| 1114316056 | Michael Mayhall | Counselor | 213 Northwest 15th Avenue, Delray Beach, FL 33444 | 2015-01-15 |
| Find all providers in zip 33444 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801368964 | Kathleen Simervil | Physician Assistant | 402 Se 6th Ave # A, Delray Beach, FL 33483-5231 | 2018-12-28 |
| 1396216230 | Melanie Da Costa | Physician Assistant | 3100 S Federal Hwy Ste J, Delray Beach, FL 33483-3321 | 2018-12-17 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1790270254 | Erika Elizabeth Gottlieb | Physician Assistant | 2645 N Federal Hwy Ste 100, Delray Beach, FL 33483 | 2018-06-27 |
| 1346572161 | Melanie Hemmingsen | Physician Assistant | 6274 Linton Blvd Ste 104, Delray Beach, FL 33484-6508 | 2010-02-03 |
| 1174556260 | Soraya Breda | Physician Assistant | 5162 Linton Blvd Ste 203, Delray Beach, FL 33484-6567 | 2006-07-09 |
| 1164458691 | Lorraine Kryvicky | Physician Assistant | 550 Se 6th Avenue Suite 100, Delray Beach, FL 33483 | 2006-06-25 |
| 1285265645 | Timothy James Mccarthy | Physician Assistant | 400 S Swinton Ave, Delray Beach, FL 33444-3553 | 2020-02-03 |
| 1811536550 | Luisa Delima | Physician Assistant | 14530 S Military Trl, Delray Beach, FL 33484-3706 | 2019-12-28 |
| 1700433265 | Cheryl Lynn Van Hare | Physician Assistant | 1425 S Congress Ave, Delray Beach, FL 33445-6384 | 2019-08-20 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33444 |
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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.