MS. CONNIE S BRISTOW (NPI# 1518973270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518973270 |
| Entity Type | Individual |
| Full Name | MS. CONNIE S BRISTOW |
| Credential | PA-C |
| Practice Address |
3151 N Alafaya Trl 101 Orlando FL 32826-2945 |
| Mailing Address |
2014 Taylor Ave Winter Park FL 32792-3133 |
| Practice Telephone | 4072075000 |
| Mailing Telephone | 4072075000 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1630 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y02YJ | 01 |
| FL | 290289300 | 05 |
| Street Address |
3151 N ALAFAYA TRL 101 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32826-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457317489 | Robert K Law | Family Medicine | 3151 N Alafaya Trl, Suite 101, Orlando, FL 32826-2945 | 2006-04-26 |
| 1518565316 | Mai Tien Tran | Physician Assistant | 3151 N Alafaya Trl, Orlando, FL 32826-2945 | 2020-10-14 |
| 1952883555 | Ivon Clavijo | Behavior Technician | 3151 N Alafaya Trl, Orlando, FL 32826-2945 | 2018-08-30 |
| 1740659440 | Sreeja Nandakumar | Nurse Practitioner | 3151 N Alafaya Trl, Orlando, FL 32826-2945 | 2015-09-23 |
| 1629336896 | Nida Fatima Merchant | Nurse Practitioner | 3151 N Alafaya Trl, Suite 101, Orlando, FL 32826-2945 | 2012-04-25 |
| 1780940247 | Alyson Nicole Alwinson | Nurse Practitioner | 3151 N Alafaya Trl, Suite 101, Orlando, FL 32826-2945 | 2012-04-09 |
| 1598903411 | Christine Cernoch | Nurse Practitioner | 3151 N Alafaya Trl, Suite 101, Orlando, FL 32826-2945 | 2009-01-30 |
| 1932355484 | Robert K Law Do Pa | Family Medicine | 3151 N Alafaya Trl, Suite 101, Orlando, FL 32826-2945 | 2008-08-15 |
| 1790941268 | Javier E Sandoval | Family Medicine | 3151 N Alafaya Trl, Suite 101, Orlando, FL 32826-2945 | 2008-08-04 |
| 1346414018 | Heather Jo Ashler | Nurse Practitioner | 3151 N Alafaya Trl, #101, Orlando, FL 32826-2945 | 2008-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
| 1407330145 | Providence Dental LLC | Dentist | 12450 E. Colonial Drive Suite 124, Orlando, FL 32826 | 2018-09-19 |
| 1013404391 | Maria Elena Burgett | Massage Therapist | 1858 N Alafaya Trl Ste 209, Orlando, FL 32826 | 2018-04-22 |
| 1033646112 | Shayna Anne Ellery | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826 | 2017-05-19 |
| 1003341769 | Samantha Justyn | Pharmacist | 12612 Challenger Parkway, Suite 365, Orlando, FL 32826 | 2017-05-01 |
| 1083152946 | Brenda Garcia | Counselor | 3157 N. Alafaya Trail, Orlando, FL 32826 | 2017-02-10 |
| 1588106017 | Christina Marie Calamis | Behavior Technician | 2100 N Alafaya Trl, Orlando, FL 32826 | 2016-11-15 |
| 1427406115 | Leslie Selina Bennett | Behavioral Analyst | 13645 E Colonial Dr Apt D390, Orlando, FL 32826 | 2016-06-02 |
| 1003219130 | Helen Waller | Social Worker | 12080 Mendel Dr, Orlando, FL 32826 | 2014-10-03 |
| 1992070783 | Erin Jean Pearce | Nurse Practitioner | 3151 North Alafaya Trail Suite 101, Orlando, FL 32826 | 2012-03-13 |
| Find all providers in zip 32826 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054843 | Cynthia Marie Mills | Physician Assistant | 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 | 2018-12-16 |
| 1447751029 | Brittney Marie Osterhoudt | Physician Assistant | 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 | 2018-02-28 |
| 1164934006 | Stephanie Carmen Oberweger | Physician Assistant | 8124 Chianti Dr, Orlando, FL 32836-5311 | 2017-11-01 |
| 1881046407 | Chrystal Danielle Fravel | Physician Assistant | 2609 S Orange Ave, Orlando, FL 32806-4547 | 2016-07-07 |
| 1922498740 | Taylor Stetson | Physician Assistant | 7403 Sugar Bend Dr, Orlando, FL 32819-7215 | 2015-02-01 |
| 1619370103 | Emily R Avgeropoulos | Physician Assistant | 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 | 2014-09-29 |
| 1417357567 | Allyson Lee | Physician Assistant | 3090 Caruso Ct, Orlando, FL 32806-8510 | 2014-08-26 |
| 1386052371 | Nancy Callaham | Physician Assistant | 6953 Cadiz Blvd, Orlando, FL 32819-4713 | 2014-07-23 |
| 1922367010 | Quality Care Providers | Physician Assistant | 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 | 2012-05-09 |
| 1013212067 | Rheumatology Associates of Central Fl. | Physician Assistant | 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 | 2011-01-24 |
| Find all providers in ORLANDO | ||||
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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.