LEILANI PHELAN (NPI# 1407126394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407126394 |
| Entity Type | Individual |
| Full Name | LEILANI PHELAN |
| Other Name | LEILANI OTERO |
| Credential | PA-C |
| Practice Address |
15320 Amberly Dr Suite A Tampa FL 33647-1647 |
| Mailing Address |
15320 Amberly Dr Suite B Tampa FL 33647-1647 |
| Practice Telephone | 8139772090 |
| Practice Fax Number | 8139779107 |
| Mailing Telephone | 8139770733 |
| Mailing Fax Number | 8139712230 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9106375 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | PA9106375 | 01 |
| Street Address |
15320 AMBERLY DR SUITE A |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184681355 | Gms Florida West Coast Inc | Internal Medicine | 15320 Amberly Dr, Suite B, Tampa, FL 33647-1647 | 2006-04-29 |
| 1881077543 | Emily Horn | Family Medicine | 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 | 2015-06-30 |
| 1285037960 | Cory Dowell | Nurse Practitioner | 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 | 2014-10-08 |
| 1053443796 | Kimberly Anne Channels | Physician Assistant | 15320 Amberly Dr, Suite, A, Tampa, FL 33647-1647 | 2007-03-09 |
| 1225096597 | Mark S Weissman | Internal Medicine | 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 | 2006-05-03 |
| 1376501031 | Martha P Ford | Family Medicine | 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762046 | Samantha Martin | Physician Assistant | 12950 Race Track Rd Ste 106, Tampa, FL 33626-1304 | 2020-05-28 |
| 1124648159 | Christian Otero | Physician Assistant | 311 W Palm Ave, Tampa, FL 33602-2029 | 2020-04-20 |
| 1487219036 | Vanessa Natasha White | Physician Assistant | 10205 W Hillsborough Ave Ste B, Tampa, FL 33615-3671 | 2019-05-08 |
| 1518520873 | Zachary Luke Ulshafer | Physician Assistant | 12901 Bruce B Downs Blvd # 05, Tampa, FL 33612-4742 | 2019-04-22 |
| 1548756893 | Christopher Jacob Bordelon | Physician Assistant | 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607-6302 | 2018-07-10 |
| 1871033340 | Amanda Lins Chissell | Physician Assistant | 13801 Bruce B Downs Blvd Ste 231, Tampa, FL 33613-3946 | 2017-03-03 |
| 1669839767 | Barbara N Vargas | Physician Assistant | 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618-2809 | 2016-01-20 |
| 1215305776 | Amber Lubas | Physician Assistant | 401 N Rome Ave, Apt: 4314, Tampa, FL 33606-0009 | 2015-09-14 |
| 1972988467 | Karla Michelle Mincone | Physician Assistant | 3040 W Cypress St # 103, Tampa, FL 33609-1615 | 2015-07-25 |
| 1326441767 | Brigett Brandjes | Physician Assistant | 2902 Usf Magnolia Drive, Tampa, FL 33612 | 2014-09-30 |
| 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.