TERRI ALEXANDER CHARLOCK (NPI# 1538663240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538663240 |
| Entity Type | Individual |
| Full Name | TERRI ALEXANDER CHARLOCK |
| Practice Address |
5314 Barefoot Path Kissimmee FL 34746 |
| Mailing Address |
5314 Barefoot Path Kissimmee FL 34746-4809 |
| Practice Telephone | 4077314780 |
| Mailing Telephone | 4077314780 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5314 BAREFOOT PATH |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730195 | Suma Joseph Kurian | Nurse Practitioner | Florida Lung Asthma Lung Specialists, 3480 Polynesian Isle Blvd, Kissimmee, FL 34746 | 2018-11-27 |
| 1811404452 | Debbie Camille Carvalho | Psychologist | 4449 Great Habor Lane, Kissimmee, FL 34746 | 2018-01-04 |
| 1679096390 | Sheyla Marie Vargas | Behavior Technician | 4118 Shelter Bay Dr, Kissimmee, FL 34746 | 2017-07-25 |
| 1013464601 | Falguni Patel | Pharmacist | 3298 S John Young Parkway, Kissimmee, FL 34746 | 2016-09-01 |
| 1942656004 | Kheira Liz Rodriguez | Case Manager/Care Coordinator | 198 London Dr, Kissimme, FL 34746 | 2016-05-09 |
| 1821456005 | Irma Valentin | Counselor | 4166 Key Colony Pl, Kissimmee, FL 34746 | 2016-02-03 |
| 1780050310 | Catherine M Alfieri | Physician Assistant | 119 Sunny Oak Trl, Kissimmee, FL 34746 | 2015-08-18 |
| 1396043956 | Mary Staffa | Speech-Language Pathologist | 2222 Granger Ave, Kissimmee, FL 34746 | 2011-03-07 |
| 1457661787 | Melita Cogburn | Counselor | 111 Monument Ave, Suite 509, Kissimmee, FL 34746 | 2010-10-20 |
| 1457585242 | Joseph Adam Ata | Dentist | 3291 S John Young Parkway, Suite B, Kissimmee, FL 34746 | 2009-05-07 |
| Find all providers in zip 34746 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851126 | Jonathan Patrick Noel | Student in an Organized Health Care Education/Training Program | 410 Celebration Pl Ste 304, Kissimmee, FL 34747-5436 | 2020-11-08 |
| 1760001549 | Katherine Blake Andersen | Student in an Organized Health Care Education/Training Program | 611 Trumpet Pl, Kissimmee, FL 34747-4962 | 2020-04-13 |
| 1982267837 | Liz Eliuz Lezama | Student in an Organized Health Care Education/Training Program | 5004 Laguna Bay Cir Apt 49, Kissimmee, FL 34746-5435 | 2019-04-16 |
| 1518520790 | Naufa Faiz Chowdhury | Student in an Organized Health Care Education/Training Program | 1704 Paradise Dr, Kissimmee, FL 34741-2012 | 2019-04-15 |
| 1306300355 | Britne Simpson | Student in an Organized Health Care Education/Training Program | 311 Aylesbury Ct, Kissimmee, FL 34758-4233 | 2019-01-24 |
| 1861980203 | Sonnia Zambrano | Student in an Organized Health Care Education/Training Program | 479 Bar Ct, Kissimmee, FL 34759-4004 | 2018-05-01 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1760842694 | Wanda Berenguer | Student in an Organized Health Care Education/Training Program | 1850 Muscat Ct, Apt G, Kissimmee, FL 34741-3457 | 2016-03-04 |
| 1467826362 | Michael Shockley | Student in an Organized Health Care Education/Training Program | 720 W Oak St Ste 201, Kissimmee, FL 34741-4998 | 2015-11-16 |
| Find all providers in KISSIMMEE | ||||
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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.