ROGER RENE TRUDEL (NPI# 1528567583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528567583 |
| Entity Type | Individual |
| Full Name | ROGER RENE TRUDEL |
| Practice Address |
3686 Sw Carmody Street Port St Lucie FL 34953 |
| Practice Telephone | 2394380602 |
| Mailing Telephone | 2394380602 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2019-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9318225 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL ARNP LICENSE | ARNP9318225 | 01 |
| FL | FL RN LICENSE | RN9318225 | 01 |
| FL | FED DEA | MT4759099 | 01 |
| Street Address |
3686 SW CARMODY STREET |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| 1770001422 | Bd Care Giver and Companion Services | Adult Companion | 374 Sw Covington. Rd, Port St Lucie, FL 34953 | 2017-09-01 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682331 | Altagrace Jean Baptiste | Nurse Practitioner | 5934 Nw Dowell Ct, Port St Lucie, FL 34986-3831 | 2020-09-01 |
| 1659983336 | Ingrid Debbieann Marsden | Nurse Practitioner | 439 Nw Prima Vista Blvd, Port St Lucie, FL 34983-8731 | 2020-08-23 |
| 1518503044 | Ruth Simon | Nurse Practitioner | 3029 Se Galt Cir, Port St Lucie, FL 34984-6339 | 2019-11-19 |
| 1578104816 | Paulard Bernard | Nurse Practitioner | 4112 Sw Webb St, Port St Lucie, FL 34953-5956 | 2019-10-07 |
| 1386205623 | Jeanine C Marshall | Nurse Practitioner | 1266 Sw Asturia Ave, Port St Lucie, FL 34953-4829 | 2019-06-27 |
| 1881167013 | Sophia Powell | Nurse Practitioner | 1574 Sw Dycus Ave, Port St Lucie, FL 34953-5251 | 2019-01-10 |
| 1841787850 | Stacy Sweeney | Nurse Practitioner | 2823 Se Peru St, Port St Lucie, FL 34984-6212 | 2018-04-16 |
| 1831605146 | Lfc Family Home Health Solutions, LLC | Nurse Practitioner | 1542 Sw Latshaw Ave, Port St Lucie, FL 34953-7013 | 2017-12-21 |
| 1619489473 | Tammy Grisham | Nurse Practitioner | 714 Nw Leonardo Cir, Port St Lucie, FL 34986-4354 | 2017-11-01 |
| 1003356916 | Ramona Loutos | Nurse Practitioner | 1729 Se Dominic Ave, Port St Lucie, FL 34952-5815 | 2017-02-27 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on ROGER RENE TRUDEL.
| 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.