DEBORAHLIN HUXTABLE (NPI# 1477069516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477069516 |
| Entity Type | Individual |
| Full Name | DEBORAHLIN HUXTABLE |
| Credential | APRN |
| Practice Address |
2830 Winkler Ave Ste 207 Fort Myers FL 33916-9301 |
| Mailing Address |
6360 Techster Blvd Ste 1 Fort Myers FL 33966-4805 |
| Practice Telephone | 2392154600 |
| Mailing Telephone | 2392232751 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN9291074 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN9291074 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 025099000 | 05 |
| Street Address |
2830 WINKLER AVE STE 207 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467911040 | Kazim Mohammed | Physician Assistant | 2830 Winkler Ave Ste 207, Fort Myers, FL 33916-9301 | 2019-03-13 |
| 1023593233 | Sydney Kristine Ables | Physician Assistant | 2830 Winkler Ave Ste 207, Fort Myers, FL 33916-9301 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775366 | Rebecca Marie Deroche | Nurse Practitioner | 10810 Mcgregor Blvd, Fort Myers, FL 33919-1846 | 2020-09-17 |
| 1730711714 | Weekend Psychrx LLC | Nurse Practitioner | 17940 N Tamiami Trl Ste 110-519, Fort Myers, FL 33903-1413 | 2020-02-07 |
| 1124538764 | Patrick Harry Charles | Nurse Practitioner | 8229 Pacific Beach Dr, Fort Myers, FL 33966-7974 | 2017-10-10 |
| 1548697626 | Ann Hart | Nurse Practitioner | 4350 Fowler St Ste 24, Fort Myers, FL 33901-2698 | 2013-10-03 |
| 1558657593 | Hilary A Sojdak | Nurse Practitioner | 6804 Porto Fino Cir Ste 1, Fort Myers, FL 33912-7139 | 2011-06-28 |
| 1215162094 | Karen S Woods | Nurse Practitioner | 12590 Whitehall Dr Ste 3, Fort Myers, FL 33907 | 2009-05-21 |
| 1174555726 | Linda Sebastian | Nurse Practitioner | 12717 Kingsmill Way, Fort Myers, FL 33913-8444 | 2006-07-06 |
| 1619575818 | Dylan Andrew Demars | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-10-12 |
| 1275159485 | Shayna Leeann Aguilar | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-06-23 |
| 1972139160 | Amanda Michelle Boroff | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-03-19 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
Please comment or provide details below to improve the information on DEBORAHLIN HUXTABLE.
| 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.