BETH ANN DECORDOVA (NPI# 1518207943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518207943 |
| Entity Type | Individual |
| Full Name | BETH ANN DECORDOVA |
| Other Name | BETH ANN HONEKAMP |
| Credential | NP |
| Practice Address |
8725 N Wickham Rd 200 Melbourne FL 32940-2239 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214349230 |
| Practice Fax Number | 3214349234 |
| Mailing Telephone | 3214349230 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2017-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9433193 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8725 N WICKHAM RD 200 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101985 | Martin E Avalos | Internal Medicine | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-5997 | 2005-08-17 |
| 1457973968 | Amanda Baker | Pharmacist | 8725 N Wickham Rd, Melbourne, FL 32940-2239 | 2020-05-07 |
| 1861931198 | Health First Family Pharmacy | Pharmacy | 8725 N Wickham Rd, Suite 102, Melbourne, FL 32940-2239 | 2017-02-20 |
| 1790234219 | Megan Mcclain | Nurse Practitioner | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2240 | 2016-09-26 |
| 1396143475 | Holmes Regional Medical Center, Inc. | Pharmacy | 8725 N Wickham Rd, Melbourne, FL 32940-2239 | 2014-12-05 |
| 1700166378 | Health First Physicians, Inc | Orthopaedic Surgery | 8725 N Wickham Rd, Suite 301, Melbourne, FL 32940-2239 | 2011-08-26 |
| 1003132887 | Nathan D Allison | Surgery | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2010-04-19 |
| 1780812586 | Aimee Lynn Tieu | Obstetrics & Gynecology | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2009-06-30 |
| 1851584593 | Amanda Gray Connan | Physician Assistant | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2007-08-27 |
| 1699982025 | Daniel Reynolds | Physical Therapist | 8725 N Wickham Rd, Suite 301, Melbourne, FL 32940-5997 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| 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 |
|---|---|---|---|---|
| 1871105411 | Nina Teresa Solar | Nurse Practitioner | 129 W Hibiscus Blvd Ste A, Melbourne, FL 32901-3006 | 2020-08-17 |
| 1629686415 | Johanna B Pillado | Nurse Practitioner | 1800 Brookshire Cir, Melbourne, FL 32904-6670 | 2020-07-17 |
| 1659900181 | Lindsay Hayes | Nurse Practitioner | 1681 Wekiva Dr, Melbourne, FL 32940-6986 | 2020-04-06 |
| 1548808439 | Robert Mathew Johnson | Nurse Practitioner | 4898 Erin Ln, Melbourne, FL 32940-7156 | 2019-12-11 |
| 1619533940 | Jessica Nicole Bartlett | Nurse Practitioner | 3021 W Eau Gallie Blvd Ste 102, Melbourne, FL 32934-7005 | 2019-05-13 |
| 1811476450 | Ashley Ricks Hampton | Nurse Practitioner | 1070 Cayman Dr, Melbourne, FL 32901-8645 | 2018-08-13 |
| 1245752070 | Morgan Brittany Shirley | Nurse Practitioner | 1019 E. Main St., Melbourne, AR 72556 | 2017-07-13 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1699058263 | Deborah Susan Coon | Nurse Practitioner | 1223 Gateway Dr Ste 1f, Melbourne, FL 32901-2607 | 2011-09-21 |
| 1043509300 | Elizabeth Marie Ambrose | Nurse Practitioner | 1223 Gateway Drivie, Suite 1c, Melbourne, FL 32901-2607 | 2011-04-06 |
| Find all providers in MELBOURNE | ||||
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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.