LYNDIAN MARTA CHACON (NPI# 1366852253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366852253 |
| Entity Type | Individual |
| Full Name | LYNDIAN MARTA CHACON |
| Credential | MPS |
| Practice Address |
12512 Bruce B Downs Blvd Tampa FL 33612-9209 |
| Mailing Address |
17823 Morninghigh Dr Lutz FL 33549-5525 |
| Practice Telephone | 8139778700 |
| Mailing Telephone | 8139486075 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
12512 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669498002 | Northside Behavioral Health Center, Inc. | Psychiatric Hospital | 12512 Bruce B Downs Blvd, Tampa, FL 33612 | 2006-07-15 |
| 1205327558 | Savannah Sterns | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-05-22 |
| 1902303357 | Amber E Holbin | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-04-11 |
| 1346743036 | Anthony Jose Silverio | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-03-09 |
| 1063914422 | Brittany Melendez | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-03-01 |
| 1134643463 | Kamille Naomi Harris | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33613 | 2017-07-28 |
| 1053832022 | Kelly Elizabeth Solberg | Social Worker | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-06-29 |
| 1144755968 | Rossen Munroe | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-04-30 |
| 1396277026 | Anne Marie Bowlin | Licensed Practical Nurse | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-03-31 |
| 1902341720 | Joseph Marten | Registered Nurse | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304010 | Austin Schrag | Counselor | 1211 E Norfolk St, Tampa, FL 33604-5029 | 2020-07-23 |
| 1699393405 | Maria Clara Pretto | Counselor | 802 E Lambright St, Tampa, FL 33604-6255 | 2020-07-08 |
| 1265058382 | Marta Marshall Pa | Counselor | 3802 Ehrlich Rd Ste 101, Tampa, FL 33624-2330 | 2020-06-24 |
| 1558851428 | Kevin Patrick Brown | Counselor | 5665 Louis Xiv Ct Apt A, Tampa, FL 33614-5846 | 2018-05-15 |
| 1366851875 | Shnai Simmons | Counselor | 18002 Richmond Place Dr Apt 1217, Tampa, FL 33647-1729 | 2014-08-08 |
| 1497185987 | Catherine Hodge | Counselor | 3825 Henderson Blvd Ste 601, Tampa, FL 33629-5052 | 2013-11-19 |
| 1083960264 | Carmen T. Otero | Counselor | 10110 Chapel Hill Ct, Tampa, FL 33615-2666 | 2012-07-25 |
| 1851688659 | Jodi Apollo Desciscio | Counselor | 333 S. Plant Ave., Tampa, FL 33606 | 2011-06-30 |
| 1801181300 | John Benjamin Mayo | Counselor | 1311 N Westshore Blvd, Suite 302, Tampa, FL 33607-4602 | 2011-06-13 |
| 1164661237 | Mahmoud S Hassan | Counselor | 8910 N Dale Mabry Hwy Ste 2, Tampa, FL 33614-1580 | 2009-02-13 |
| Find all providers in TAMPA | ||||
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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.