ANGELA ROSE BRACEWELL (NPI# 1568432524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568432524 |
| Entity Type | Individual |
| Full Name | ANGELA ROSE BRACEWELL |
| Credential | RN |
| Practice Address |
12832 Nw Central Ave Bristol FL 32321 |
| Mailing Address |
17502 Ne Pear St Blountstown FL 32424-1421 |
| Practice Telephone | 8506432415 |
| Practice Fax Number | 8506435689 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN9219673 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NURSING LICENSE | RN9219673 | 01 |
| Street Address |
12832 NW CENTRAL AVE |
| City | BRISTOL |
| State | FL |
| Zip Code | 32321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679567796 | John David Smith | Dentist | 12832 Nw Central Ave, Bristol, FL 32424 | 2005-09-02 |
| 1477966521 | Gidgetta Thomas | Licensed Practical Nurse | 12832 Nw Central Ave, Bristol, FL 32321-6918 | 2014-06-06 |
| 1609289792 | Joanna Peacock | Registered Nurse | 12832 Nw Central Ave, Bristol, FL 32321-6918 | 2014-06-05 |
| 1174940308 | Melissa Kincaid | Dental Hygienist | 12832 Nw Central Ave, Liberty County Health Department, Bristol, FL 32321-6918 | 2014-03-26 |
| 1568736353 | Florida Department of Health | Public Health or Welfare | 12832 Nw Central Ave, Bristol, FL 32321-6918 | 2012-02-27 |
| 1104107226 | Sandra Jean Ford | Nurse Practitioner | 12832 Nw Central Ave, Bristol, FL 32321-6918 | 2011-09-01 |
| 1629259940 | Florida Department of Health | Clinic/Center | 12832 Nw Central Ave, Bristol, FL 32321 | 2007-11-15 |
| 1710910849 | Jocelyn I Stowell | Advanced Practice Midwife | 12832 Nw Central Ave, Bristol, FL 32321-0489 | 2006-07-09 |
| 1578533808 | Cynthia Marie Kimbrel | Licensed Practical Nurse | 12832 Nw Central Ave, Bristol, FL 32321 | 2006-01-26 |
| 1184694283 | Karla Grace Johnson | Licensed Practical Nurse | 12832 Nw Central Ave, Bristol, FL 32321 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
| 1194281121 | Ash Bailey Smith | Social Worker | 10659 Nw Sr 20, Bristol, FL 32321 | 2019-02-14 |
| 1508295692 | Maggie Chavez | Counselor | 12422 Ne Revell Road, Bristol, FL 32321 | 2013-11-08 |
| 1437586609 | Queen Brown Haven Assisted Living Facility | Assisted Living Facility | 6906 Nw Torreya Park Road, Bristol, FL 32321 | 2013-10-03 |
| 1538400072 | Ruby Lee Varnum | Assisted Living Facility | 12167 Nw Freeman Rd, Bristol, FL 32321 | 2013-03-08 |
| 1417233321 | April Dawn Landrum | Case Management | 13888 Nw Cr 12, Apalachee Center, Inc., Bristol, FL 32321 | 2011-10-25 |
| 1417191107 | Elizabeth Stephanie Hofrichter | Social Worker | 11033 Nw Sr 20, Bristol, FL 32321 | 2009-04-24 |
| 1275734881 | Efren L Baltazar | Obstetrics & Gynecology | 2571 Executive Center Circle East, Howard Building Division of Disability Determination, Tallahassee, FL 32321 | 2007-05-30 |
| 1336260322 | Laban Bontrager | Dentist | 12761 Ne Pea Ridge Rd, Bristol, FL 32321 | 2007-04-03 |
| 1225192404 | Liberty County School Board | Local Education Agency (LEA) | 12926 Nw Cr 12, Bristol, FL 32321 | 2006-12-21 |
| Find all providers in zip 32321 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952597981 | Amy Sharon Hollen | Registered Nurse | 396 Williams Ln, Bristol, TN 37620-8738 | 2007-09-24 |
| 1578118162 | Kelli Ann Klies | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2019-08-09 |
| 1598257198 | Paul David Ostroski | Registered Nurse | 10 N. Main Street, Bristol, CT 06010 | 2018-05-31 |
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|---|---|---|---|---|
| 1184238800 | Zendra Latura Hansley | Registered Nurse | 5763 Saint Isabel Dr, Jacksonville, FL 32277-1761 | 2020-09-01 |
| 1952930158 | Tennille A Lott | Registered Nurse | 16638 Sunrise Vista Dr, Clermont, FL 34714-4969 | 2020-04-08 |
| 1891333274 | Traci Corbin | Registered Nurse | 603 Scenic Hill Circle, Bonifay, FL 32425 | 2019-12-16 |
| 1437706579 | Martie B Granieri | Registered Nurse | 6609 Bishopgate Ln, Naples, FL 34104-8310 | 2019-08-22 |
| 1699338129 | Japonica Nikkitta Ferrell | Registered Nurse | 11703 Sweet Serenity Ln Unit 204, New Port Richey, FL 34654-4565 | 2019-04-19 |
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1962983387 | Ashley Elizabeth Haley | Registered Nurse | 3697 Lake Emma Rd Ste 126, Lake Mary, FL 32746-6121 | 2018-08-23 |
| 1851882120 | Lottie Cuthbertson | Registered Nurse | 4534 21st Ave S, St Petersburg, FL 33711-2914 | 2018-05-22 |
| 1396235404 | Michelle Cole Dudley | Registered Nurse | 55 Inlet Harbor Rd # 8, Ponce Inlet, FL 32127-7272 | 2018-05-14 |
| 1326545732 | Adrienna D Neal | Registered Nurse | 909 Bordeaux Pl, Orlando, FL 32808-7734 | 2018-04-11 |
| Find all providers with the same taxonomy | ||||
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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.