BRENDA KAY BROGDON (NPI# 1417928615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417928615 |
| Entity Type | Individual |
| Full Name | BRENDA KAY BROGDON |
| Other Name | BRENDA KAY HENRY |
| Credential | ARNP |
| Practice Address |
1600 Lakeland Hills Blvd Lakeland FL 33805 |
| Mailing Address |
Po Box 95004 Lakeland FL 33804 |
| Practice Telephone | 8636807000 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807206 |
| Mailing Fax Number | 8636807420 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2012-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
ARNP1775942 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 302405900 | 05 |
| Street Address |
1600 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940695 | Watson Clinic LLP | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2005-05-31 |
| 1134720261 | Hope Dukes | Family Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-11-04 |
| 1659994259 | Jessica Lynn Garber | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2020-05-19 |
| 1427681410 | Paula Suryani Wibowo | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2020-02-18 |
| 1932739828 | Ashley Duncan | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-21 |
| 1285273672 | Nicholas Skulimoski | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-02 |
| 1134779812 | Mallory Bastian | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-09-16 |
| 1730741356 | Kellie L. Smaidi | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-07-03 |
| 1982265864 | Alexandra Starzhevskiy | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2019-06-22 |
| 1548829666 | Ashley Nicole Craig | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2019-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790248813 | Elena Nease | Nurse Practitioner | 2145 Mykell Dr, Milton, FL 32583-3369 | 2019-04-08 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1104220292 | Cori Elizabeth Raiken | Nurse Practitioner | 905 Lake Lily Dr Apt C432, Maitland, FL 32751-7680 | 2014-10-17 |
| 1437446002 | Jennifer Dooley | Nurse Practitioner | 140 Mcleods Way, Winter Springs, FL 32708-7106 | 2011-07-05 |
| 1134344302 | Eleanor F Pardue | Nurse Practitioner | 2080 Child St Naval Hospital At Jacksonville, Mother Infant Unit, Jacksonville, FL 32212 | 2007-04-14 |
| 1922161629 | Deborah Louise Rogala | Nurse Practitioner | 3231 Mc Mullen Booth Rd, Safety Harbor, FL 34695 | 2006-12-18 |
| 1922179605 | Dinorah Rodriguez-warren | Nurse Practitioner | 15144 Moultrie Pointe Rd, Orlando, FL 32828-6656 | 2006-11-13 |
| 1962585612 | H Olly A. Hubbard | Nurse Practitioner | 3231 Mcmullen Booth Rd., Mease Countryside Hospital, Clearwater, FL 33761 | 2006-10-23 |
| 1851330211 | Jennifer L Naylor | Nurse Practitioner | 165 Sw Vision Gln, Lake City, FL 32025-1111 | 2006-06-04 |
| 1427002617 | Cara Lou Rhoads | Nurse Practitioner | 832 Heritage Dr, Weston, FL 33326-4543 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
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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.