BIANCA CLERMONT


Address: 5802 N 30th St, Tampa, FL 33610-1469
Phone: 8132365100

BIANCA CLERMONT (NPI# 1417416843) 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) 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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS BLUE SHIELD HRJBN 01
FL MEDICARE L7264 01
FL 105452900 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2 Tampa General Cir, Tampa, FL 336063603 8139742201 8139742812

Office Location

Street Address 5802 N 30TH ST
City TAMPA
State FL
Zip Code 33610-1469

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City TAMPA
Zip Code 33610

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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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