SIMON P MULINDA (NPI# 1538480652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538480652 |
| Entity Type | Individual |
| Full Name | SIMON P MULINDA |
| Credential | NP |
| Practice Address |
5 Executive Cir Savannah GA 31406-3345 |
| Mailing Address |
519 Buena Vista St Lakeland FL 33805-4504 |
| Practice Telephone | 9123552400 |
| Practice Fax Number | 9123555324 |
| Mailing Telephone | 8633374994 |
| Mailing Fax Number | 8633374999 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2014-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN192237 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 EXECUTIVE CIR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279951 | Robert Alexander Mazur | Emergency Medicine | 5 Executive Cir, Savannah, GA 31406-3345 | 2005-07-19 |
| 1891303533 | Duran Deffley, LLC | Social Worker | 5 Executive Cir, Savannah, GA 31406-3345 | 2020-07-20 |
| 1538643481 | Ruth Duran Deffley | Social Worker | 5 Executive Cir, Savannah, GA 31406-3345 | 2018-09-17 |
| 1861868481 | Marianne A Mainer | Nurse Practitioner | 5 Executive Cir, Savannah, GA 31406-3345 | 2015-08-18 |
| 1447638432 | Sarah Henriquez | Physician Assistant | 5 Executive Cir, Savannah, GA 31406-3345 | 2015-05-11 |
| 1467846238 | Michael S. Sangiorge | Nurse Practitioner | 5 Executive Cir, Savannah, GA 31406-3345 | 2015-03-19 |
| 1063819399 | Mary Jo Christine Blakey | Nurse Practitioner | 5 Executive Cir, Savannah, GA 31406-3345 | 2014-12-02 |
| 1083018667 | Maci E. Hobby | Physician Assistant | 5 Executive Cir, Savannah, GA 31406-3345 | 2014-10-10 |
| 1467868828 | Andrew Tate | Physician Assistant | 5 Executive Cir, Savannah, GA 31406-3345 | 2014-07-07 |
| 1447693908 | Erin C Hennessey | Physician Assistant | 5 Executive Cir, Savannah, GA 31406-3345 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| 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 |
|---|---|---|---|---|
| 1174157218 | Mh 102, PC | Nurse Practitioner | 813 E 68th St Ste B, Savannah, GA 31405-4710 | 2020-02-27 |
| 1780216614 | Jennifer Leigh Burroughs | Nurse Practitioner | 2210 E 37th St, Savannah, GA 31404-3843 | 2020-02-08 |
| 1609376359 | Jessica Sierra Letcher | Nurse Practitioner | 4a Skidaway Village Walk, Savannah, GA 31441 | 2018-02-20 |
| 1982006078 | Brittany Frankhouser Smith | Nurse Practitioner | 225 Candler Dr Ste 201, Savannah, GA 31405 | 2014-09-19 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| 1457636458 | Ashley Brooke Andrews | Nurse Practitioner | 4750 Waters Ave Ste 108, Savannah, GA 31404-6267 | 2011-10-21 |
| 1366697419 | Jessica Rittie Adkins | Nurse Practitioner | 4849 Paulsen St Ste 312, Savannah, GA 31405 | 2008-11-17 |
| 1780866830 | Teresa D Dailey | Nurse Practitioner | 255 Wayne Rd, Savannah, TN 38372-1947 | 2007-11-30 |
| 1851593594 | Melanie A Reaves Pllc | Nurse Practitioner | 1440 Pickwick St, Savannah, TN 38372 | 2007-06-04 |
| 1710192109 | Jennifer C. Adams | Nurse Practitioner | 4 Jackson Blvd., Savannah, GA 31405 | 2007-05-11 |
| Find all providers in SAVANNAH | ||||
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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.