CHERYL BLANK (NPI# 1407286479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407286479 |
| Entity Type | Individual |
| Full Name | CHERYL BLANK |
| Credential | NP |
| Practice Address |
703 Virginia St Dunedin FL 34698-6615 |
| Practice Telephone | 7277344000 |
| Practice Fax Number | 7277244110 |
| Mailing Telephone | 7277344000 |
| Mailing Fax Number | 7277244110 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9370324 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9370324 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932221058 | Cheryl Rae Blank | Counselor | 121 W Kagy Blvd, Bozeman, MT 59715-6000 | 2007-04-06 |
| 1932171089 | Cheryl L Blank | Specialist | 887 Congress St, Suite 410b, Portland, ME 04102-3100 | 2006-02-03 |
| Street Address |
703 VIRGINIA ST |
| City | DUNEDIN |
| State | FL |
| Zip Code | 34698-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991540 | Larry R. Levine | Family Medicine | 703 Virginia St, V J Dilella, Do LLC, Dunedin, FL 34698-6615 | 2005-06-10 |
| 1881065746 | Marlena Dietrich | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2015-10-16 |
| 1164891644 | Katherine D Dellangelo | Clinical Nurse Specialist | 703 Virginia St, Dunedin, FL 34698-6615 | 2015-09-15 |
| 1881026102 | Erika S Carelli | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-08-09 |
| 1972944015 | Lori Ann Borja | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-07-16 |
| 1861738817 | Rhonda Gary Jackson | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698 | 2012-12-19 |
| 1033454624 | Latosha Maria Negrete | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2012-12-07 |
| 1861769671 | Dynamic Health Care Services,llc | Clinic/Center | 703 Virginia St, Dunedin, FL 34698-6615 | 2011-11-22 |
| 1649547563 | Brooke Chiodo | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2011-11-21 |
| 1265757553 | Leah Yang Faucett | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2010-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245711803 | Surgcenter Clearwater, LLC | Clinic/Center | 980 Milwaukee Avenue, Dunedin, FL 34698 | 2018-08-22 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| 1487168506 | Dunedin Chiropractic Inc | Chiropractor | 1059 Broadway Suite C, Dunedin, FL 34698 | 2017-11-28 |
| 1578072039 | Changesu | Clinic/Center | 998 Emerson Drive, Dunedin, FL 34698 | 2017-09-27 |
| 1144680042 | Diane Chonacki | Social Worker | 1835 Santa Barbara Dr, Dunedin, FL 34698 | 2016-03-04 |
| 1801201157 | Beverly Sorrells | Acupuncturist | 595 Main Street, Suite 201, Dunedin, FL 34698 | 2014-06-25 |
| 1215275623 | Izabela Kowal | Internal Medicine | 1460 Beltrees St Ste 1, Dunedin, FL 34698 | 2013-01-18 |
| 1588923346 | Kim T Rohr, Dc Pa | Chiropractor | 1000 Bass Blvd, Dunedin, FL 34698 | 2012-05-14 |
| 1235437500 | Caryn Daley Mcclintock | Registered Nurse | 1930 Dunloe Circle, Dunedin, FL 34698 | 2011-03-10 |
| 1295043073 | Chmiel Corp | Assisted Living Facility | 3240 Cr #1, Dunedin, FL 34698 | 2010-09-15 |
| Find all providers in zip 34698 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164970760 | Carissa Alinat | Nurse Practitioner | 1846 Douglas Ave, Dunedin, FL 34698-3705 | 2016-09-13 |
| 1629074398 | Donald Michael Grubb | Nurse Practitioner | 2323 Curlew Rd, Ste 2a, Dunedin, FL 34698-9331 | 2005-06-27 |
| 1649719915 | Kelly Board | Nurse Practitioner | 1460 Beltrees St Ste 1, Dunedin, FL 34698-8353 | 2017-02-19 |
| 1861738817 | Rhonda Gary Jackson | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698 | 2012-12-19 |
| 1033454624 | Latosha Maria Negrete | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2012-12-07 |
| 1104156199 | Kathy Anne Corbo | Nurse Practitioner | 1064 Keene Rd, Dunedin, FL 34698-6300 | 2010-01-13 |
| 1114918786 | Susan D Rivera | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
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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.