BROCK AND HARRISON SERVICES, LLC (NPI# 1487052148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487052148 |
| Entity Type | Organization |
| Organization Name | BROCK AND HARRISON SERVICES, LLC |
| Practice Address |
3344 23rd St N St Petersburg FL 33713-2708 |
| Practice Telephone | 7276128031 |
| Practice Fax Number | 7279148107 |
| Mailing Telephone | 7276128031 |
| Mailing Fax Number | 7279148107 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | JACKIE LEE BROCK (PRESIDENT) |
| Authorized Official Telephone | 7276128031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN 5212877 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1851791917 | 01 |
| Street Address |
3344 23RD ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043601586 | Lorraine Sorrick | Licensed Practical Nurse | 10182 12th Way N Apt 107, St Petersburg, FL 33716-4363 | 2015-02-05 |
| 1811318116 | Alberto Casas | Licensed Practical Nurse | 6217 38th Ave N, St Petersburg, FL 33710-1608 | 2014-01-04 |
| 1215368279 | Stephanie Carrington | Licensed Practical Nurse | 3110 1st Ave N Ste 2i, St Petersburg, FL 33713-8637 | 2013-12-02 |
| 1063793578 | Raphael Sanders | Licensed Practical Nurse | 11150 4th St N, #4502, St Petersburg, FL 33716-2914 | 2011-08-30 |
| 1568796985 | Superior Staffing | Licensed Practical Nurse | 6190 80th St N Apt 104, St Petersburg, FL 33709-1069 | 2009-10-02 |
| 1881852226 | Sheron Angela Bygraves | Licensed Practical Nurse | 6425 Canton St S, St Petersburg, FL 33712-5560 | 2008-05-31 |
| 1922276450 | Eric Gerard Hicks | Licensed Practical Nurse | 7251 Cedar Ct N Apt 207, St Petersburg, FL 33702-5545 | 2008-02-19 |
| 1841409679 | Karen Sue Cary Lentz | Licensed Practical Nurse | 1099 5th Ave N, Suite 110, St Petersburg, FL 33705-1469 | 2007-05-21 |
| 1114072790 | Maryann Ralston | Licensed Practical Nurse | 4820 Venetian Blvd Ne, St Petersburg, FL 33703-4228 | 2007-01-24 |
| 1407400922 | Octavia G. Crooks | Licensed Practical Nurse | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2019-08-01 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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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.