SERINA WISNEWSKI (NPI# 1598100893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598100893 |
| Entity Type | Individual |
| Full Name | SERINA WISNEWSKI |
| Credential | ARNP |
| Practice Address |
2955 Pineda Plaza Way Suite: 115 Melbourne FL 32940-7318 |
| Mailing Address |
2955 Pineda Plaza Way Suite 115 Melbourne FL 32940-7318 |
| Practice Telephone | 3212547375 |
| Practice Fax Number | 3212547375 |
| Mailing Telephone | 3212547375 |
| Mailing Fax Number | 3212547145 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9246684 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2955 PINEDA PLAZA WAY SUITE: 115 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-7318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164083564 | Shree Anitha Prasanna Pa Inc | Durable Medical Equipment & Medical Supplies | 2955 Pineda Plaza Way, Melbourne, FL 32940-7318 | 2019-06-26 |
| 1659778322 | Melanie April Richardson | Nurse Practitioner | 2955 Pineda Plaza Way, Suite 121, Melbourne, FL 32940-7318 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316475171 | Jacqueline Hoskins | Nurse Practitioner | 2644 Kingsmill Ave, Melbourne, FL 32934-7583 | 2017-05-24 |
| 1255773701 | Mobile Physicians Group Inc | Nurse Practitioner | 1010 E New Haven Ave Ste B, Melbourne, FL 32901 | 2013-07-25 |
| 1841521176 | Leonora Lillian Conte | Nurse Practitioner | 325 Tangle Run Blvd Apt 1112, Melbourne, FL 32940-1831 | 2010-01-27 |
| 1407073943 | Paige Michelle Ahammer | Nurse Practitioner | 221 W Hibiscus Blvd, Suite 401, Melbourne, FL 32901-3044 | 2007-04-19 |
| 1326033085 | Michelle Wiedenhoeft | Nurse Practitioner | 3661 S Babcock St, 2nd Floor, Melbourne, FL 32901-8205 | 2005-09-19 |
| 1861491565 | Marva Edwards-marshall | Nurse Practitioner | 720 E New Haven Ave, Melbourne, FL 32901-5474 | 2005-07-15 |
| 1801891585 | Bruce Robert Simpkins | Nurse Practitioner | 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205 | 2005-06-17 |
| 1053922476 | Cory Louis Nayfield | Nurse Practitioner | 2200 W Eau Gallie Blvd Ste 200, Melbourne, FL 32935-3166 | 2020-08-10 |
| 1457830556 | Heidi Jo Sommers | Nurse Practitioner | 1131 W New Haven Ave, Melbourne, FL 32904-4110 | 2018-08-09 |
| 1558872606 | Julie Ann Starr | Nurse Practitioner | 8247 Devereux Dr Ste 102, Melbourne, FL 32940-8227 | 2017-10-17 |
| Find all providers in MELBOURNE | ||||
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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.