MRS. MAYBELLINE MALOMA HANSON (NPI# 1518577006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518577006 |
| Entity Type | Individual |
| Full Name | MRS. MAYBELLINE MALOMA HANSON |
| Credential | A-GNP |
| Practice Address |
1453 Clear Brook Pl Saint Cloud FL 34772-6537 |
| Practice Telephone | 7862106309 |
| Mailing Telephone | 7862106309 |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2020-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN9251665 | FL | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | APRN11001250 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1453 CLEAR BROOK PL |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34772-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780110940 | Caitlin Smith | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2017-05-10 |
| 1073069787 | Yolimar Vazquez | Specialist/Technologist | 2332 Seven Oaks Dr, Saint Cloud, FL 34772 | 2016-09-01 |
| 1881041903 | Diana Barreto | Counselor | 4205 Cracker Ct, St.cloud, FL 34772 | 2016-05-18 |
| 1356713267 | Gilbert Saenz | Counselor | 4622 Mildred Bass Road, St. Cloud, FL 34772 | 2015-10-30 |
| 1841532025 | Origin Hospitality LLC | Assisted Living Facility | 2910 Old Canoe Creek Rd, Saint Cloud, FL 34772 | 2013-03-26 |
| 1912264037 | Mario Gregorio Rodriguez | Skilled Nursing Facility | 3056 Sandstone Circle, St Cloud, FL 34772 | 2012-04-13 |
| 1356479182 | Ramon Roman Jr. | Counselor | 3640 Doe Run Dr., St. Cloud, FL 34772 | 2007-03-01 |
| 1619451085 | Sunny Path Therapy | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2018-09-20 |
| 1154807329 | Brunella Denegri | Behavior Technician | 1300 Creekview Ct, Saint Cloud, FL 34772 | 2018-07-11 |
| 1720452436 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2301 Old Canoe Creek Rd, St. Cloud, FL 34772 | 2015-11-18 |
| Find all providers in zip 34772 | ||||
| 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 |
|---|---|---|---|---|
| 1922626647 | Heather Marie Korkowski | Nurse Practitioner | 2323 Nuthatch St, Saint Cloud, FL 34771-8421 | 2020-07-09 |
| 1700344983 | Kathy Figueroa | Nurse Practitioner | 4231 Settlers Ct, Saint Cloud, FL 34772-8511 | 2019-03-07 |
| 1588114458 | Marilyn Daugherty | Nurse Practitioner | 2902 17th Street, Saint Cloud, FL 34769-7064 | 2016-10-04 |
| 1205277290 | Ashleigh Lauren Chambers | Nurse Practitioner | 3106 17th St, Saint Cloud, FL 34769-6021 | 2013-07-08 |
| 1902908122 | Kristine M Trout | Nurse Practitioner | 2900 17th St Ste 3, Saint Cloud, FL 34769-6098 | 2006-09-01 |
| 1982662011 | Kathleen A. Palyo | Nurse Practitioner | 1700 E Irlo Bronson Memorial Hwy, Saint Cloud, FL 34771-5806 | 2006-05-01 |
| 1205435773 | Cassandra Lee Ackerman | Nurse Practitioner | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2020-10-25 |
| 1760090468 | Siri Konz | Nurse Practitioner | 1900 Centracare Cir Ste 1600, Saint Cloud, MN 56303-5000 | 2020-07-19 |
| 1578171401 | Kerem Price | Nurse Practitioner | 4028 13th St, Saint Cloud, FL 34769-6773 | 2020-07-16 |
| 1225677057 | Elizabeth Ann Elliott | Nurse Practitioner | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2019-12-26 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34772 |
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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.