ELENA VITALIEVNA LIDGARD (NPI# 1528698396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528698396 |
| Entity Type | Individual |
| Full Name | ELENA VITALIEVNA LIDGARD |
| Credential | APRN |
| Practice Address |
2020 59th St W Bradenton FL 34209-4669 |
| Mailing Address |
347 Montgomery Ave Sarasota FL 34243-1509 |
| Practice Telephone | 9417986199 |
| Mailing Telephone | 5209548224 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
11005829 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2020 59TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-4669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093857 | Laura Velcu | Surgery | 2020 59th St W, Bradenton, FL 34209-4604 | 2005-06-16 |
| 1437757127 | Sunshine State Anesthesia Partners | Anesthesiology | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-10-14 |
| 1942811419 | Natalya A Kollektsionova | Registered Nurse | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-08-10 |
| 1821616426 | Heather Horne | Nurse Practitioner | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-07-09 |
| 1043849292 | Pooja V Patel | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-04-08 |
| 1073142485 | Benjamin Thomas Ihde | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4669 | 2020-04-07 |
| 1417586066 | James Anthony Hubert | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-04-06 |
| 1134758600 | Amanda Holstein | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-04-06 |
| 1376172924 | Cory Quinlan | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-04-06 |
| 1467081158 | Dana Most | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376009274 | Lindsay Rebekah Hedrick | Nurse Practitioner | 2010 59th St W Ste 2200, Bradenton, FL 34209-4689 | 2019-02-15 |
| 1992243810 | Anastasha May Ruth Schon | Nurse Practitioner | 250 2nd St E, Ste 3a, Bradenton, FL 34208-1029 | 2017-02-11 |
| 1003264292 | Devon Buck | Nurse Practitioner | 316 Manatee Ave W, Bradenton, FL 34205-8805 | 2016-05-27 |
| 1871949966 | Rita Manderscheid | Nurse Practitioner | 1886 59th St W, Bradenton, FL 34209-4630 | 2016-05-09 |
| 1811123680 | Elizabeth Anne Kimsey | Nurse Practitioner | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 | 2009-06-06 |
| 1396970646 | Kenneth R Duncan | Nurse Practitioner | 2401 Manatee Ave W, Bradenton, FL 34205-4933 | 2009-05-15 |
| 1851560858 | Tammie Hyde | Nurse Practitioner | 1886 59th St W, Bradenton, FL 34209-4630 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
| 1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
| 1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
| 1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
| 1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
| 1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
| 1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
| 1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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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.