DAVID LAWERENCE MODDERS (NPI# 1346460862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346460862 |
| Entity Type | Individual |
| Full Name | DAVID LAWERENCE MODDERS |
| Credential | PHD |
| Practice Address |
1050 Old Camp Rd Ste 100 The Villages FL 32162-1762 |
| Mailing Address |
5051 Se 110th St Belleview FL 34420-3115 |
| Practice Telephone | 3526741760 |
| Practice Fax Number | 3526748960 |
| Mailing Telephone | 3522459157 |
| Mailing Fax Number | 3522453031 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY6041 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1050 OLD CAMP RD STE 100 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749519 | Jeffery Jerome Mcneil | Nurse Practitioner | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2005-09-02 |
| 1275141954 | Samantha Johnson | Nurse Practitioner | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2020-07-17 |
| 1245877216 | Stephanie Lynn Hicks | Social Worker | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-12-09 |
| 1376195677 | Katherine Rodriguez | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-07-16 |
| 1104485291 | Amanda Naumann | Physician Assistant | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2019-06-11 |
| 1497235170 | Sara J Murray | Dietitian, Registered | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2018-08-21 |
| 1124556329 | Catherine Salmons | Social Worker | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2017-06-01 |
| 1992231021 | Rani Marie Powierza | Nurse Practitioner | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2017-05-10 |
| 1275087629 | Jill Marsha Tuke | Nurse Practitioner | 1050 Old Camp Rd Ste 100, The Villages, FL 32162 | 2016-08-14 |
| 1942658083 | Joseph Michael Rizzi | Family Medicine | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2016-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467439034 | Allan Smith | Psychologist | 2526 Tamarind Grove Run, The Villages, FL 32162-3843 | 2005-12-27 |
| 1134116544 | James Marvin Moore Jr. | Psychologist | 3188 Mansfield St, The Villages, FL 32162-7448 | 2005-09-30 |
| 1184924326 | Randall Todd Sherwood | Psychologist | 416 Teague Trl, The Villages, FL 32159-3769 | 2010-10-21 |
| 1467603837 | Cynthia Lynne Stewart | Psychologist | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2008-10-03 |
| 1477611200 | Renee Caroline Tapasak | Psychologist | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2006-12-05 |
| 1972560613 | Helen S Pan | Psychologist | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
Please comment or provide details below to improve the information on DAVID LAWERENCE MODDERS.
| 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.