MS. JULIETA WALDRON (NPI# 1528582558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528582558 |
| Entity Type | Individual |
| Full Name | MS. JULIETA WALDRON |
| Other Name | JULIETA WALDRON |
| Credential | APRN |
| Practice Address |
255 Borman Dr Merritt Island FL 32953-3486 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214346650 |
| Practice Fax Number | 3214345867 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP2794642 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | JC311Z | 01 |
| FL | 022145000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1223 Gateway Dr Ste 2e, Melbourne, FL 329012607 | 3213123494 | 3219526946 |
| Street Address |
255 BORMAN DR |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-3486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154304657 | Cape Heart Group Inc | Internal Medicine | 255 Borman Dr, Suite 202, Merritt Island, FL 32953-3486 | 2005-11-29 |
| 1285796706 | Hatice Y Foell | Nurse Practitioner | 255 Borman Dr, 2nd Floor, Merritt Island, FL 32953-3486 | 2006-12-14 |
| 1114026994 | Ralph D Rayner | Internal Medicine | 255 Borman Dr, Second Floor, Merritt Island, FL 32953 | 2006-09-21 |
| 1396791455 | Randall Rigdon | Internal Medicine | 255 Borman Dr, Merritt Island, FL 32953-3486 | 2006-05-26 |
| 1972564060 | Theresa Halm | Nurse Practitioner | 255 Borman Dr, 2nd Floor, Merritt Island, FL 32953-3486 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| Find all providers in zip 32953 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080422 | Shari Tillman | Nurse Practitioner | 1510 Monte Carlo Ct, Merritt Island, FL 32952-5666 | 2020-07-08 |
| 1487276853 | Marsel Kogan | Nurse Practitioner | 601 High Point Ct, Merritt Island, FL 32952-4177 | 2020-05-08 |
| 1760909766 | Trisha Lorraine White | Nurse Practitioner | 1021 Newfound Harbor Dr, Merritt Island, FL 32952-2759 | 2017-08-29 |
| 1780944520 | Lisa Anne Black | Nurse Practitioner | 220 S Courtenay Pkwy, Suite B, Merritt Island, FL 32952-4893 | 2012-05-28 |
| 1295213346 | Mary Angela Mccarthy | Nurse Practitioner | 260 N Tropical Trl Ste 105, Merritt Island, FL 32953-4800 | 2018-07-31 |
| 1831604354 | Jean M Cervini-koby | Nurse Practitioner | 375 S Courtenay Pkwy, Merritt Island, FL 32952-4886 | 2017-12-06 |
| 1386038701 | Tiffany Bonnell | Nurse Practitioner | 270 N Sykes Creek Pkwy, Merritt Island, FL 32953 | 2015-03-24 |
| 1164721866 | Traci Lynn Futch-west | Nurse Practitioner | 40 Fortenberry Rd, Merritt Island, FL 32952-3616 | 2011-03-21 |
| 1760637201 | Kimberlee Ann Cavanaugh | Nurse Practitioner | 1500 E Merritt Island Cswy, Suite 300, Merritt Island, FL 32952-2612 | 2008-11-25 |
| 1780889899 | Dawn Jennifer Banke | Nurse Practitioner | 595 N Courtenay Pkwy, Suite 102, Merritt Island, FL 32953-4851 | 2007-06-19 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
Please comment or provide details below to improve the information on MS. JULIETA WALDRON.
| 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.