ALEXIS FONVILLE (NPI# 1417555608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417555608 |
Entity Type | Individual |
Full Name | ALEXIS FONVILLE |
Practice Address |
1150 S Semoran Blvd Ste A Orlando FL 32807-1424 |
Mailing Address |
3445 Benson Park Blvd Orlando FL 32829-7332 |
Practice Telephone | 4077047811 |
Mailing Telephone | 6093690684 |
Enumeration Date | 2020-10-11 |
Last Update Date | 2020-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1150 S SEMORAN BLVD STE A |
City | ORLANDO |
State | FL |
Zip Code | 32807-1424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144367418 | A Great Life Services Inc | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2007-01-30 |
1518571405 | Cindy Ramirez | Case Manager/Care Coordinator | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2020-09-08 |
1982246427 | Norma Ventura | Case Manager/Care Coordinator | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-10-16 |
1801446547 | Natasha Reyes | Psychologist | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-09-15 |
1174173884 | Johanmarie Vazquez | Psychologist | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-09-14 |
1720637812 | Betzaida Garcia | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-09-10 |
1033768551 | Jose Luis Torres | Rehabilitation Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-09-06 |
1699331090 | Claribar Guerrero | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-05-13 |
1326603671 | Sharon Sullivan | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-05-02 |
1942864798 | Michael Wise | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-04-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922668037 | Javier Urshela | Rehabilitation Counselor | 1150 S Semoran Blvd Suite A, Orlando, FL 32807 | 2019-06-20 |
1326602087 | Darnell Maurice Avent | Counselor | 7835 Pine Crossing Circle, Apt: 1038, Orlando, FL 32807 | 2019-04-29 |
1689185233 | Janea Mark | Technician/Technologist | 2242 Gator Drive, 326, Orlando, FL 32807 | 2017-10-22 |
1659813863 | Yaritza Joan Mattei Collado | Speech-Language Pathologist | 1136 Farwell, Orlando, FL 32807 | 2016-11-07 |
1316495815 | Grimarie Fernandez | Counselor | 1601 N. Goldenrod Rd. Suite 2, A Great Life, Inc, Orlando, FL 32807 | 2016-09-14 |
1922473958 | Adam Brett Lowery | Counselor | 1400 Semoran Blvd, Orlando, FL 32807 | 2015-12-02 |
1396115093 | Peterson Jean-baptiste | Counselor | 7835 Pine Crossing Circle, Apt. 1027, Orlando, FL 32807 | 2015-10-07 |
1396121380 | Sonia Vega | Case Management | 1601 N. Goldenrod Rd., Orlando, FL 32807 | 2015-08-03 |
1386036069 | Guidewell Emergency Medicine Doctors | Clinic/Center | 1706 N Semoran Blvd, Orlando, FL 32807 | 2015-03-04 |
1821339276 | Cac- Florida Medical Centers LLC | Clinic/Center | 737 South Semoran Blvd, Orlando, FL 32807 | 2013-03-11 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
1407463508 | Michelle A Trak | Student in an Organized Health Care Education/Training Program | 2201 Research Parkway Suite 300, Orlando, FL 32816-0001 | 2020-09-23 |
1821619263 | Matthew Robin | Student in an Organized Health Care Education/Training Program | 10135 Brandon Cir, Orlando, FL 32836-3712 | 2020-04-27 |
1669092292 | Daniel Duybinh Nguyen | Student in an Organized Health Care Education/Training Program | 10030 Dean Chase Blvd, Orlando, FL 32825-4850 | 2020-04-23 |
1326668229 | Zachary Thomas Felsberg | Student in an Organized Health Care Education/Training Program | 3113 Eagle Blvd, Orlando, FL 32804-3703 | 2020-04-21 |
1225667934 | Zamaris Rivera | Student in an Organized Health Care Education/Training Program | 12805 Pegasus Drive, Room 123, Orlando, FL 32816 | 2020-04-04 |
1447889159 | Zoe Rocke | Student in an Organized Health Care Education/Training Program | 3849 Township Square Blvd Apt 823, Orlando, FL 32837-5386 | 2020-04-04 |
1114556800 | Ronald Bosco Benard Saborio | Student in an Organized Health Care Education/Training Program | 121 Glowing Peace Ln, Orlando, FL 32824-6141 | 2020-04-03 |
1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
1760010565 | Noeline Mukawera Ndwaniye | Student in an Organized Health Care Education/Training Program | 12012 Lake Cypress Cir Apt C304, Orlando, FL 32828-7069 | 2020-03-29 |
Find all providers in ORLANDO |
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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.