HEAVEN RATLEFF (NPI# 1386014710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386014710 |
| Entity Type | Individual |
| Full Name | HEAVEN RATLEFF |
| Practice Address |
11601 4th St N Apt 1605 Saint Petersburg FL 33716-2742 |
| Practice Telephone | 3302747550 |
| Mailing Telephone | 3302747550 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5235893 | FL | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | PN159808 | OH | Nursing Service Providers |
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
11601 4TH ST N APT 1605 |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33716-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674530 | Linda Barnes-bonneau | Licensed Practical Nurse | 4534 13th Ave S, Saint Petersburg, FL 33711-2409 | 2020-06-24 |
| 1538640685 | Southern Oasis Living LLC | Licensed Practical Nurse | 2527 10th Ave S, Saint Petersburg, FL 33712-2021 | 2018-08-27 |
| 1013415330 | Darin Locy | Licensed Practical Nurse | 10840 Poplar St Ne, Saint Petersburg, FL 33716-3308 | 2018-02-01 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| 1588016505 | Alexis Waters Waters | Licensed Practical Nurse | 630 40th St S, Saint Petersburg, FL 33711-1636 | 2016-07-02 |
| 1477969665 | Beverly Broadnax | Licensed Practical Nurse | 2814 Edwards Ave S, Saint Petersburg, FL 33705-3653 | 2014-07-08 |
| 1275892234 | Randy Dale Woodard | Licensed Practical Nurse | 5971 Terrace Park Dr N, Unit 108, Saint Petersburg, FL 33709-1181 | 2012-05-11 |
| 1215199732 | Viengchai Kempienski | Licensed Practical Nurse | 2635 37th Ave N, Saint Petersburg, FL 33713-1731 | 2008-06-26 |
| 1356520274 | Shawn Edward Brooks | Licensed Practical Nurse | 5602 59th Way N, Saint Petersburg, FL 33709-1828 | 2007-10-27 |
| 1164958757 | Clear Path Center Pa | Licensed Practical Nurse | 3177 4th St N, Saint Petersburg, FL 33704-2124 | 2017-05-03 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33716 |
Please comment or provide details below to improve the information on HEAVEN RATLEFF.
| 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.