VICKI MARCELLE BRANDENBURG (NPI# 1386872562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386872562 |
| Entity Type | Individual |
| Full Name | VICKI MARCELLE BRANDENBURG |
| Credential | ARNP |
| Practice Address |
1011 W International Speedway Blvd Daytona Beach FL 32114-3421 |
| Practice Telephone | 3862383830 |
| Practice Fax Number | 3862383831 |
| Mailing Telephone | 3862383830 |
| Mailing Fax Number | 3862383831 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
ARNP3331702 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1011 W INTERNATIONAL SPEEDWAY BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104963909 | Wanda Ortiz-alvarez | Social Worker | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2007-01-31 |
| 1467888511 | Stephanie Maynard | Social Worker | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2013-09-20 |
| 1184050247 | Brenna Young | Social Worker | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2013-09-20 |
| 1972876092 | Cristi Lynn Kamps | Counselor | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2012-02-21 |
| 1548568942 | Tressa Oestreicher | Counselor | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2011-03-09 |
| 1942508528 | Emily Marie Bartholomew | Counselor | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2011-03-07 |
| 1497920367 | The Children's Advocacy Center | Community/Behavioral Health | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2008-04-23 |
| 1750567186 | Shani Toii Dean | Counselor | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2008-01-16 |
| 1427234962 | Deborah Ann Housley | Counselor | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2008-01-15 |
| 1306022843 | Judy Christensen Mcgrath | Counselor | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2008-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508850645 | Cornelia Alice Griffin | Nurse Practitioner | 2007 S Peninsula Dr, Daytona Beach, FL 32118-5213 | 2005-09-05 |
| 1982059085 | Kayla Norwood | Nurse Practitioner | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-04-27 |
| 1699144436 | Diane Santopadre | Nurse Practitioner | 311 N Clyde Morris Blvd, Suite 420, Daytona Beach, FL 32114-2781 | 2015-09-23 |
| 1497008643 | Janet M Bradstreet | Nurse Practitioner | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2012-10-24 |
| 1063473262 | Marjory W Quammie | Nurse Practitioner | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2006-03-29 |
| 1386603199 | Barbara L Brownfield | Nurse Practitioner | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2006-03-21 |
| 1982663712 | Debra A Rome | Nurse Practitioner | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005464 | Sharon Resto | Nurse Practitioner | 16206 Breckinmore Ln, Tampa, FL 33625-1004 | 2020-08-25 |
| 1346863552 | Danielle Selig Jaeger | Nurse Practitioner | 27 Flowertree Dr, Ormond Beach, FL 32174-3091 | 2020-05-21 |
| 1568096550 | Denise Nicely | Nurse Practitioner | 5100 Station Way, Sarasota, FL 34233-3221 | 2020-02-27 |
| 1104450592 | Kionna Sadie Pitts | Nurse Practitioner | 2902 N Armenia Ave Ste 100, Tampa, FL 33607-1661 | 2020-02-25 |
| 1720610090 | Patricia Rivero | Nurse Practitioner | 445 Woodcrest Rd, Key Biscayne, FL 33149-1838 | 2020-02-05 |
| 1215567524 | Kristina Chardon | Nurse Practitioner | 11500 University Blvd Ste B, Orlando, FL 32817-2197 | 2020-01-26 |
| 1962043554 | Marcel Bernadette Nagel | Nurse Practitioner | 1523 Ashlee Branch Way, Saint Johns, FL 32259-1923 | 2019-10-04 |
| 1336798412 | Vicky Arlene Smith | Nurse Practitioner | 501 Pointe Allyson Way, Orlando, FL 32825-5973 | 2019-09-10 |
| 1003476011 | Angela Marie Bumpus | Nurse Practitioner | 9121 Lantern Oak Way, Land O Lakes, FL 34638-2607 | 2019-06-20 |
| 1396301230 | Mary Elizabeth Buie | Nurse Practitioner | 5457 Baldwin Park St, Orlando, FL 32814-6749 | 2019-05-16 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.