LOIS K BIELICKI (NPI# 1619034626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619034626 |
| Entity Type | Individual |
| Full Name | LOIS K BIELICKI |
| Credential | APRN |
| Practice Address |
9611 W Broward Blvd Plantation FL 33324-2334 |
| Mailing Address |
900 S Pine Island Rd Ste 800 Plantation FL 33324-3923 |
| Practice Telephone | 9544247000 |
| Practice Fax Number | 9544246003 |
| Mailing Telephone | 9544247000 |
| Mailing Fax Number | 9544246003 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN3288982 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 304010100 | 05 |
| Street Address |
9611 W BROWARD BLVD |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346900 | Matilda Francisca Jarocki | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2005-09-12 |
| 1437715836 | Oneida A Segura | Registered Nurse | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2019-05-13 |
| 1487107025 | Sasheena Buchanan | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2016-08-01 |
| 1447604442 | Rebecca M Bork | Pediatrics | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2016-04-16 |
| 1750788311 | Susanne Aiyer | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2014-11-25 |
| 1255744272 | Taylor Joseph Hathaway | Pediatrics | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2014-06-06 |
| 1003236175 | Shanna Stephen | Pediatrics | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2014-04-16 |
| 1104250216 | Donna Mcevoy | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2013-08-26 |
| 1356781108 | Jonathan Camino Perez | Pediatrics | 9611 W Broward Blvd, Pediatric Associates, Plantation, FL 33324-2334 | 2013-06-26 |
| 1114260007 | Jennifer Berkovich | Pediatrics | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2013-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548296379 | Ellen S Mass | Nurse Practitioner | 8430 W Broward Blvd, Childrens Medical Association, Plantation, FL 33324-2700 | 2006-06-23 |
| 1457346900 | Matilda Francisca Jarocki | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2005-09-12 |
| 1487107025 | Sasheena Buchanan | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2016-08-01 |
| 1750788311 | Susanne Aiyer | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2014-11-25 |
| 1104250216 | Donna Mcevoy | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2013-08-26 |
| 1568807998 | Melissa Marie Charlton | Nurse Practitioner | 300 Nw 70th Ave, Plantation, FL 33317 | 2013-04-29 |
| 1891052460 | Suzette Annmarie Gray-walker | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2012-04-19 |
| 1932408408 | Erica Margaret Mcmullen | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2011-03-22 |
| 1679887707 | Bernice E Wallace | Nurse Practitioner | 4101 Nw 4th St, Suite 200, Plantation, FL 33317-2850 | 2010-07-30 |
| 1164749784 | Joseph Gerard Celona | Nurse Practitioner | 9611 W Broward Blvd, Plantation, FL 33324-2334 | 2010-04-21 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.