MR. TRACY DERRYBERRY (NPI# 1558733485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558733485 |
| Entity Type | Individual |
| Full Name | MR. TRACY DERRYBERRY |
| Credential | R.N. |
| Practice Address |
10110 Bahama Dr Cutler Bay FL 33189-1506 |
| Practice Telephone | 3055774840 |
| Practice Fax Number | 3054006243 |
| Mailing Telephone | 3055774840 |
| Mailing Fax Number | 3054006243 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN9417391 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RN LICENSE | RN9417391 | 01 |
| Street Address |
10110 BAHAMA DR |
| City | CUTLER BAY |
| State | FL |
| Zip Code | 33189-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275185910 | Maritza Gonzalez | Massage Therapist | 11255 Sw 211th Street, Miami, FL 33189 | 2019-07-12 |
| 1093292617 | Marlen Hernandez | Behavior Technician | 21340 S Sw 112 Ave, 201, Miami, FL 33189 | 2018-07-26 |
| 1811487705 | Innovative Minds Aba | Behavioral Analyst | 8848 Sw 211th Ln, Cutler Bay, FL 33189 | 2018-05-16 |
| 1750871828 | Patricia Yassa | Optometrist | 20505 S Dixie Hwy Ste 559, Cutler Bay, FL 33189 | 2018-05-15 |
| 1447751748 | Asline Charles-marc I | Behavioral Analyst | 20872 Sw 90 Pl, Cutler Bay, FL 33189 | 2018-02-22 |
| 1982115713 | Licet Dorta | Assistant Behavior Analyst | 9234 Sw 211th Ln, Cutler Bay, FL 33189 | 2017-10-19 |
| 1447774765 | Alexandra M Berlus | Behavior Technician | 8405 Sw 197th Terrace, Cutler Bay, FL 33189 | 2017-07-28 |
| 1710400577 | Nirmala Gokool | Behavior Technician | 1000 Bahama Drive, Miami, FL 33189 | 2017-07-24 |
| 1720500630 | Yusanny Gonzalez Cuadra | Behavior Technician | 8852 Sw 209th Terr, Miami, FL 33189 | 2017-07-12 |
| 1720500671 | The Therapy Company | Community/Behavioral Health | 9241 Sw 212th Terrace, Cutler Bay, FL 33189 | 2017-07-12 |
| Find all providers in zip 33189 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1255816518 | Lester Alexander Pineda | Registered Nurse | 8831 Sw 203rd Ter, Cutler Bay, FL 33189-2659 | 2018-10-02 |
| 1770015323 | Keisha Andre | Registered Nurse | 22501 Sw 88 Place, Cutler Bay, FL 33190 | 2017-04-03 |
| 1679028856 | Christopher Edouard | Registered Nurse | 9730 Caribbean Blvd, Cutler Bay, FL 33189-1519 | 2016-08-17 |
| 1609259076 | Rachel Diao | Registered Nurse | 9320 Martinique Dr, Cutler Bay, FL 33189-1756 | 2015-07-03 |
| 1518585249 | Gabriela Giles | Registered Nurse | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2020-07-09 |
| 1649804667 | Destiny Taylor | Registered Nurse | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2020-02-28 |
| 1154967883 | Carol Givenlly Perez | Registered Nurse | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2019-11-18 |
| 1629548110 | Clairmencia Romain | Registered Nurse | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2018-11-28 |
| 1720564909 | Kentrelle Johnson | Registered Nurse | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2018-07-11 |
| 1629568514 | Kathryn Schreiner | Registered Nurse | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2018-05-16 |
| Find all providers in CUTLER BAY | ||||
| City | CUTLER BAY |
| Zip Code | 33189 |
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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.