SHARALEEN PEYCKE BRODERICK (NPI# 1477815256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477815256 |
| Entity Type | Individual |
| Full Name | SHARALEEN PEYCKE BRODERICK |
| Practice Address |
1414 Lexington Green Ln Sanford FL 32771-1015 |
| Mailing Address |
2575 Westminster Ter Oviedo FL 32765-7568 |
| Practice Telephone | 4074962630 |
| Mailing Telephone | 4074962630 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1414 LEXINGTON GREEN LN |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457683021 | Jessica Dawn Bush | Marriage & Family Therapist | 1414 Lexington Green Ln, Sanford, FL 32771-1015 | 2010-02-08 |
| 1912449737 | Sherri Washington | Community Health Worker | 1414 Lexington Green Ln, Sanford, FL 32771-1015 | 2016-11-10 |
| 1265882922 | Harmony Mental Health and Behavioral Services, LLC | Counselor | 1414 Lexington Green Ln, Sanford, FL 32771-1015 | 2016-06-14 |
| 1134563901 | Jennifer Leigh Gasparri | Marriage & Family Therapist | 1414 Lexington Green Ln, Sanford, FL 32771-1015 | 2013-04-24 |
| 1760739924 | Brett R. Marshall | Counselor | 1414 Lexington Green Ln, Sanford, FL 32771-1015 | 2012-08-07 |
| 1548582646 | Jennifer Anne Vestal | Counselor | 1414 Lexington Green Ln, Sanford, FL 32771-1015 | 2010-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891337085 | Pop Behavioral Services | Case Manager/Care Coordinator | 1590 Tropic Park Dr, Sanford, FL 32773-6323 | 2019-10-09 |
| 1760973499 | Robinaret Vargas | Case Manager/Care Coordinator | 204 Citrus Dr, Sanford, FL 32771-3667 | 2018-05-30 |
| 1275932212 | Tekoa Pouerie | Case Manager/Care Coordinator | 8506 Cypress Hollow Ct, Sanford, FL 32771-8119 | 2014-08-15 |
| 1245649144 | Ivelisse Morales-franco | Case Manager/Care Coordinator | 410 Fairfield Dr, Sanford, FL 32771-6838 | 2014-08-05 |
| 1134479876 | Laterika Williams | Case Manager/Care Coordinator | 1445 Dolgner Pl Ste 23, Sanford, FL 32771-9204 | 2012-09-10 |
| 1063773406 | Jessica Caroline Hixon | Case Manager/Care Coordinator | 136 Monroe View Trl, Sanford, FL 32771-7976 | 2012-06-01 |
| 1548520075 | Sheena Etienne | Case Manager/Care Coordinator | 655 W Fulton St, Suite 4, Sanford, FL 32771-1109 | 2012-05-17 |
| 1902195167 | Colleen Sherry Finley | Case Manager/Care Coordinator | 150 Brushcreek Dr, Sanford, FL 32771-7749 | 2011-03-28 |
| 1386966208 | Walter Charles Cornell | Case Manager/Care Coordinator | 2815 Knudsen Dr, Sanford, FL 32773-5290 | 2010-02-19 |
| 1902985955 | Tracy L Balint | Case Manager/Care Coordinator | 8210 Via Bella St, Sanford, FL 32771-9752 | 2006-11-02 |
| Find all providers in SANFORD | ||||
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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.