CONSTANCE KOOISTRA (NPI# 1548441306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548441306 |
| Entity Type | Individual |
| Full Name | CONSTANCE KOOISTRA |
| Practice Address |
2575 N Courtenay Pkwy Merritt Island FL 32953-4126 |
| Practice Telephone | 3216395787 |
| Practice Fax Number | 3216395762 |
| Mailing Telephone | 3216395787 |
| Mailing Fax Number | 3216395762 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN772721 | FL | Nursing Service Providers |
| Street Address |
2575 N COURTENAY PKWY |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427049972 | Miguel A Medina Rodriguez | Family Medicine | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2005-11-03 |
| 1578996146 | Calvi Enid Pabon-nadal | General Practice | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2013-08-18 |
| 1427355015 | Alex Antonio Morales-caban | Family Medicine | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2011-02-17 |
| 1912145632 | Pedro Jaime Rodriguez | Pediatrics | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2009-02-03 |
| 1861666976 | Regina Petit | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-04-18 |
| 1841464526 | Lauren Howard | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-04-15 |
| 1902079528 | Michelle C Holden | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-04-03 |
| 1154590511 | Mary Jacobsen | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-02-29 |
| 1609044353 | Ann Prendergast | Registered Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-02-15 |
| 1386812154 | Anneliese Klingener | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-02-14 |
| Find all providers in the same location | ||||
| 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 | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093863490 | Kathleen Greck | Licensed Practical Nurse | 2575 N Courteney Pkwy, Merritt Island, FL 32953 | 2007-01-08 |
| 1861666976 | Regina Petit | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-04-18 |
| 1841464526 | Lauren Howard | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-04-15 |
| 1902079528 | Michelle C Holden | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-04-03 |
| 1154590511 | Mary Jacobsen | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-02-29 |
| 1386812154 | Anneliese Klingener | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-02-14 |
| 1386812162 | Heather Terry | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-02-14 |
| 1417134032 | Joy Adams | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-01-25 |
| 1619153491 | Linda Russell | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2008-01-11 |
| 1093996852 | Linda Yourick | Licensed Practical Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2007-11-21 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
Please comment or provide details below to improve the information on CONSTANCE KOOISTRA.
| 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.