TRISTAN HALL


Address: 876 Se 46th Loop, Keystone Heights, FL 32656-6264
Phone: 3525389135

TRISTAN HALL (NPI# 1386180180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386180180
Entity Type Individual
Full Name TRISTAN HALL
Practice Address 876 Se 46th Loop
Keystone Heights
FL 32656-6264
Practice Telephone 3525389135
Mailing Telephone 3525389135
Enumeration Date 2017-01-17
Last Update Date 2017-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse PN5208864 FL Nursing Service Providers

Office Location

Street Address 876 SE 46TH LOOP
City KEYSTONE HEIGHTS
State FL
Zip Code 32656-6264

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205329455 Brooke Alyssa Tussinger Behavior Technician 5625 Silver Sands Cir, Keystone Heights, FL 32656 2018-06-12
1467874628 Lauren Ashlee Hughes Physical Therapist 465 S. Lawrence Blvd., Keystone Heights, FL 32656 2014-01-07
1164697231 Lindsey Jane Jones Wilkinson Specialist 580 Se Holly Ave, Keystone Hgts, FL 32656 2008-04-29
1114018397 Tracie C Starling Dentist 310 Se Palmetto Ave, Keystone Hgts, FL 32656 2006-09-27
1740206671 Donnette N. Beard Massage Therapist 7426 State Road 21, Keystone Heights, FL 32656 2006-07-14
1144501602 Sherry Denise Chapman Pharmacist Walgreens, 115 N Lawrence Blvd, Keystone Heights, FL 32656 2011-08-29
1932341559 W O Mcnair Chore Provider 501 Se 41st Loop, Apt. 170, Keystone Heights, FL 32656-4207 2009-03-27
1225239015 Selena Sandra Plummer Counselor 765 Se 53rd St, Keystone Heights, FL 32656-6356 2007-05-30
1902899958 Iftikhar Fazal Haq Family Medicine 100 Commercial Dr, Keystone Heights, FL 32656-6802 2005-08-25
1013476217 Robert Edward Daley Pharmacist 100 Commercial Dr, Keystone Heights, FL 32656-6802 2019-03-18
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558962175 Talor Meigs Licensed Practical Nurse 870 Mande Ct, Shalimar, FL 32579-2303 2020-11-02
1871192070 Layata Shaundria Twitty-kiser Licensed Practical Nurse 2521 Spring Forest Road, Tallahassee, FL 32301 2020-10-20
1841898657 Tamesha L Montgomery Licensed Practical Nurse 112 Stock Ave, Interlachen, FL 32148-5095 2020-10-14
1346857299 Ieshia Nesbitt Licensed Practical Nurse 9633 Ne 2nd Dr, Wildwood, FL 34785-8440 2020-09-24
1205443207 Cheryl Elaine Dowdell Licensed Practical Nurse 1685 Biscayne Bay Cir, Jacksonville, FL 32218-8671 2020-09-24
1366057796 Djuana M Carter Licensed Practical Nurse 1837 Lake Chapman Dr Unit 202, Brandon, FL 33510-4169 2020-09-11
1881208130 Myra Louise Peoples Licensed Practical Nurse 4473 Se Village Rd, Stuart, FL 34997-8234 2020-09-03
1417560731 Melanie Reyes Licensed Practical Nurse 968 Allendale Rd, West Palm Beach, FL 33405-1346 2020-08-26
1003429788 Meline St Pierre Licensed Practical Nurse 6607 Willow Street, Zellwood, FL 32798 2020-08-24
1427669134 Phedia Jean Baptiste Licensed Practical Nurse 4709 Nw 9th Dr, Plantation, FL 33317-1482 2020-08-14
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Competitor

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City KEYSTONE HEIGHTS
Zip Code 32656

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Dataset Information

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.

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