EMMA LAURA EMS (NPI# 1548614647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548614647 |
| Entity Type | Individual |
| Full Name | EMMA LAURA EMS |
| Credential | ARNP |
| Practice Address |
1630 Mason Ave Ste C Daytona Beach FL 32117 |
| Mailing Address |
1630 Mason Ave Ste C Daytona Beach FL 32117-4503 |
| Practice Telephone | 3862389064 |
| Practice Fax Number | 3862389063 |
| Mailing Telephone | 3862389064 |
| Mailing Fax Number | 3862389063 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9367507 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9367507 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3951 S Nova Rd, Suite 3, Port Orange, FL 321279270 | 3862561444 | 3214001118 |
| 161 N Causeway Ste A, New Smyrna Beach, FL 32169 | 3864241584 | 3864104800 |
| Street Address |
1630 MASON AVE STE C |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082607 | Husam Eddin | Family Medicine | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4547 | 2006-07-28 |
| 1588200885 | Kathryn Anne Erickson | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-11-21 |
| 1619511763 | Excellence Health Psychiatry, LLC | Psychiatry & Neurology | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-11-01 |
| 1467006080 | Melissa Ann Goddard | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-07-31 |
| 1700449238 | Jeanine Tripp | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2019-04-19 |
| 1891261863 | Meagan Ann Burgess | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2018-10-17 |
| 1447741749 | Excellence Health, LLC | Family Medicine | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4547 | 2018-05-22 |
| 1134634249 | Andrea Mercado | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2017-12-12 |
| 1659886646 | Tenisha Bryan Morris | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2017-12-12 |
| 1700204005 | Antonio Manuel Portilla-cintron Jr. | Specialist | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2014-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750821716 | Jessica Teich | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2017-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
| 1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
| 1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
| 1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on EMMA LAURA EMS.
| 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.