JOHN REPETOSKY (NPI# 1316233604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316233604 |
| Entity Type | Individual |
| Full Name | JOHN REPETOSKY |
| Practice Address |
1835 Gilmore Ave Lakeland FL 33805-3017 |
| Mailing Address |
Po Box 1559 Bartow FL 33831-1559 |
| Practice Telephone | 8635190575 |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1835 GILMORE AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354175 | Devyani N Desai | Psychiatry & Neurology | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2005-08-30 |
| 1235757188 | Amanda Robleto | Technician, Other | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2020-07-08 |
| 1962039461 | Stephanie Vah | Technician, Other | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2020-03-25 |
| 1811524796 | Qunitrilla Mccombs | Community Health Worker | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2020-03-23 |
| 1417581224 | Stephanie Brown Alarcon | Technician, Other | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2020-03-02 |
| 1144850777 | Stacy Pape | Technician, Other | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2020-01-23 |
| 1861039323 | Erica Spears | Social Worker | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2019-12-04 |
| 1891350336 | Simone Evans | Counselor | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2019-05-09 |
| 1659848265 | Linda Purdy | Technician, Other | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2018-11-01 |
| 1942777552 | Faykesha Oliver | Technician, Other | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1588119481 | Robert Kennedy | Counselor | 313 W Valencia St, Lakeland, FL 33805-3138 | 2016-08-20 |
| 1689032799 | Lauren Sutherland | Counselor | 3838 Whitedove Dr, Lakeland, FL 33812-4358 | 2016-02-03 |
| 1730519570 | Ashley Bearden | Counselor | 308 E Lemon St, Suite 105, Lakeland, FL 33801-5048 | 2013-11-14 |
| 1346593613 | Michele Duckstein | Counselor | 3955 Windchime Ln, Lakeland, FL 33811-3006 | 2012-10-23 |
| 1740567973 | Rhonda Bonita Hands | Counselor | 2126 East Edgewood, Lakeland, FL 33803 | 2011-11-16 |
| 1316101751 | Lorna Alaina Thomas | Counselor | 735 Parkview Pl, Lakeland, FL 33805-4536 | 2008-07-15 |
| 1407892656 | David Willis Kent | Counselor | 930 Alicea Rd, Lakeland, FL 33810 | 2006-06-22 |
| 1821052788 | Mary Jane Oglesby | Counselor | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2006-04-17 |
| 1487283370 | Relationship Builders Lakeland | Counselor | 215 E Bay St Ste 5, Lakeland, FL 33801-4983 | 2020-04-03 |
| Find all providers in LAKELAND | ||||
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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.