AMANDA COLMAN (NPI# 1336796549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336796549 |
Entity Type | Individual |
Full Name | AMANDA COLMAN |
Credential | APRN |
Practice Address |
1205 N Courtenay Pkwy Merritt Island FL 32953-5500 |
Mailing Address |
1950 Rockledge Blvd Rockledge FL 32955-3763 |
Practice Telephone | 3216360005 |
Enumeration Date | 2019-08-22 |
Last Update Date | 2019-08-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN11003545 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | COMMERCIAL | APRN11003545 | 01 |
Street Address |
1205 N COURTENAY PKWY |
City | MERRITT ISLAND |
State | FL |
Zip Code | 32953-5500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700857406 | Risa L Vinarub | Podiatrist | 1205 N Courtenay Pkwy, Merritt Island, FL 32953-5500 | 2006-01-30 |
1902447071 | Ann-marie Holness | Physician Assistant | 1205 N Courtenay Pkwy, Merritt Island, FL 32953-5500 | 2019-09-30 |
1497158083 | Christopher L Johnson | Physician Assistant | 1205 N Courtenay Pkwy, Merritt Island, FL 32953-5500 | 2014-09-26 |
1881008696 | Brevard Family Walk In Clinic LLC | Non-Pharmacy Dispensing Site | 1205 N Courtenay Pkwy, Merritt Island, FL 32953-5500 | 2014-06-19 |
1639278443 | John Thomas Panzek | Dentist | 1205 N Courtenay Pkwy, Merritt Island, FL 32953-5500 | 2006-09-21 |
1477590362 | Brevard Healthworx Inc | Podiatrist | 1205 N Courtenay Pkwy, Merritt Island, FL 32953-5500 | 2006-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
Find all providers in zip 32953 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689203879 | Home At Heart Medical Group Inc | Nurse Practitioner | 1195 Potomac Dr, Merritt Island, FL 32952-7220 | 2020-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
Find all providers with the same taxonomy |
City | MERRITT ISLAND |
Zip Code | 32953 |
Please comment or provide details below to improve the information on AMANDA COLMAN.
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.