EDGAR JOEL CRUZ CRISPIN (NPI# 1497212799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497212799 |
| Entity Type | Individual |
| Full Name | EDGAR JOEL CRUZ CRISPIN |
| Credential | APRN |
| Practice Address |
413 Del Prado Blvd S Cape Coral FL 33990-5713 |
| Mailing Address |
24021 Madaca Ln Unit 102 Port Charlotte FL 33954-2811 |
| Practice Telephone | 2396736240 |
| Mailing Telephone | 9416005134 |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2019-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11001601 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11001601 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
413 DEL PRADO BLVD S |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33990-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1386259208 | Hope of Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 | 2020-09-09 |
| 1669001814 | Jamie Lindon Kohl | Specialist/Technologist | 605 Se 13th Ct, Cape Coral, FL 33990 | 2020-04-08 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1215429279 | Five Star Homecare LLC | Adult Companion | 629 Se 10th Pl, Cape Coral, FL 33990 | 2018-06-05 |
| 1730679192 | Amanda Tiana Bright | Developmental Therapist | 1507 Se 18th St, Cape Coral, FL 33990 | 2018-05-11 |
| 1487170908 | Natalie Diaz | Behavior Technician | 317 Se 16th Place, Cape Coral, FL 33990 | 2017-08-16 |
| 1679097273 | Centro Medico LLC | Clinic/Center | 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 | 2017-07-26 |
| 1629506308 | Besties LLC | Adult Companion | 518 Se 20th Ct, Cape Coral, FL 33990 | 2017-05-25 |
| Find all providers in zip 33990 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929461 | Kera Degrange | Nurse Practitioner | 419 Se 21st Ln, Cape Coral, FL 33990-4370 | 2020-10-09 |
| 1598381790 | Marcia Kisha Mccleary | Nurse Practitioner | 1025 Nw 9th Ter, Cape Coral, FL 33993-2001 | 2020-06-23 |
| 1336706548 | Heather Leann Anderson | Nurse Practitioner | 1407 Viscaya Pkwy Ste 2, Cape Coral, FL 33990-6200 | 2019-05-22 |
| 1275013120 | Amy L Gonzalez | Nurse Practitioner | 2503 Del Prado Blvd S Ste 510, Cape Coral, FL 33904-5709 | 2018-08-20 |
| 1417433970 | Vicky Doreen Duhaime | Nurse Practitioner | 636 Delprado Blvd South, Cape Coral, FL 33909 | 2018-07-17 |
| 1487152351 | Kelley Janet Cole | Nurse Practitioner | 1229 Sw 54th St, Cape Coral, FL 33914-7075 | 2018-01-25 |
| 1164813556 | Tiffany Schoen | Nurse Practitioner | 4158 Ne 9th Ave, Cape Coral, FL 33909-6115 | 2015-02-06 |
| 1215271440 | Simpac Medical Service, Inc | Nurse Practitioner | 2109 Sw 40th Ter, Cape Coral, FL 33914-5439 | 2012-11-10 |
| 1326330507 | Taylor's Exceptional Nurse Practitioner Service, LLC | Nurse Practitioner | 841 Sw 47th Ter #106, Cape Coral, FL 33914 | 2011-05-06 |
| 1215247341 | Amy Brown | Nurse Practitioner | 2529 Nw 25th Pl, Cape Coral, FL 33993-8250 | 2010-10-07 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33990 |
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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.