BIANCA CLERMONT (NPI# 1417416843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417416843 |
Entity Type | Individual |
Full Name | BIANCA CLERMONT |
Practice Address |
5802 N 30th St Tampa FL 33610-1469 |
Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
Practice Telephone | 8132365100 |
Mailing Telephone | 8139742201 |
Mailing Fax Number | 8139742812 |
Enumeration Date | 2019-03-15 |
Last Update Date | 2020-10-26 |
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 |
11001853 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS BLUE SHIELD | HRJBN | 01 |
FL | MEDICARE | L7264 | 01 |
FL | 105452900 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2 Tampa General Cir, Tampa, FL 336063603 | 8139742201 | 8139742812 |
Street Address |
5802 N 30TH ST |
City | TAMPA |
State | FL |
Zip Code | 33610-1469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164482410 | Satya S Kurakula | Family Medicine | 5802 N 30th St, Tampa, FL 33610-1469 | 2006-03-23 |
1164052445 | Amber Michelle Gum | Psychologist | 5802 N 30th St, Tampa, FL 33610-1469 | 2020-01-25 |
1487991477 | Tampa General Medical Group Inc | Family Medicine | 5802 N 30th St, Tampa, FL 33610-1469 | 2013-01-10 |
1992016950 | Jorayn Lundy | Nurse Practitioner | 5802 N 30th St, Tampa, FL 33610-1469 | 2010-06-24 |
1265697924 | Aditi Vinayak Purandare | Internal Medicine | 5802 N 30th St, Tampa, FL 33610 | 2008-07-22 |
1013117084 | Stephanie Austin | Nurse Practitioner | 5802 N 30th St, Tampa, FL 33610-1469 | 2007-07-19 |
1811028798 | Karen Sue Mcdonald | Nurse Practitioner | 5802 N 30th St, Genesis Clinic, Tampa, FL 33610-1469 | 2007-03-09 |
1255418570 | Kara Burke | Nurse Practitioner | 5802 N 30th St, Tampa, FL 33610-1469 | 2006-11-01 |
1477576460 | University Medical Service Association Inc | Family Medicine | 5802 N 30th St, Mdc 15, Tampa, FL 33610-1469 | 2006-07-25 |
1154379154 | Stephen D Kohl | Obstetrics & Gynecology | 5802 N 30th St, Tampa, FL 33610-1469 | 2006-05-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
Find all providers in zip 33610 |
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 |
---|---|---|---|---|
1861005464 | Sharon Resto | Nurse Practitioner | 16206 Breckinmore Ln, Tampa, FL 33625-1004 | 2020-08-25 |
1104450592 | Kionna Sadie Pitts | Nurse Practitioner | 2902 N Armenia Ave Ste 100, Tampa, FL 33607-1661 | 2020-02-25 |
1720431968 | Lauren Hammer | Nurse Practitioner | 4150 North Armenia Avenue, Suite Number 200, Tampa, FL 33607 | 2016-07-22 |
1518164961 | Lenora L Welden | Nurse Practitioner | 4801 N Habana Ave, Tampa, FL 33614-6812 | 2007-06-29 |
1891713871 | Pamela Jo Cook | Nurse Practitioner | 5 Tampa General Cir Ste 240, Tampa, FL 33606-3578 | 2006-07-17 |
1467925834 | Kelly Landicho Parker | Nurse Practitioner | 5 Tampa General Cir Ste 240, Tampa, FL 33606-3578 | 2019-01-08 |
1184108730 | Kathryn Tyree | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2018-09-19 |
1760841357 | Casey Lyn Copeland | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2016-02-11 |
1871995688 | Lakeshia Williams | Nurse Practitioner | 13601 N 22nd St, Tampa, FL 33613-4427 | 2014-09-23 |
1447566393 | Lindsay Meredith Tedder | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2010-08-28 |
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.