EDELINE DARDIGNAC (NPI# 1639306939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639306939 |
| Entity Type | Individual |
| Full Name | EDELINE DARDIGNAC |
| Credential | ARNP |
| Practice Address |
2020 Talley Rd Leesburg FL 34748-3426 |
| Practice Telephone | 4079143910 |
| Practice Fax Number | 3523157587 |
| Mailing Telephone | 4079143910 |
| Mailing Fax Number | 3523157587 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN9163120 | FL | Nursing Service Providers |
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
RN9163120 | FL | Nursing Service Providers |
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
RN9163120 | FL | Nursing Service Providers |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ARNP9163120 | FL | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ARNP9163120 | FL | Allopathic & Osteopathic Physicians |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP916312 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP 9163120 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2020 TALLEY RD |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802002 | Lifestream Behavioral Center Inc | Psychiatric Residential Treatment Facility | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2005-06-23 |
| 1013421569 | Saad Siddiqui | Physician Assistant | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2017-11-20 |
| 1801310602 | Lindsey Pollen | Counselor | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2017-08-02 |
| 1619409463 | Julia M Palomino | Social Worker | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2017-03-31 |
| 1285175059 | Olga Rodriguez-burgos | Counselor | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2017-03-14 |
| 1093258642 | Nageley Michel | Nurse Practitioner | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2016-11-30 |
| 1518310630 | Michelle Joop | Social Worker | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2016-07-14 |
| 1871940783 | Abid Darr | Psychiatry & Neurology | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2016-05-20 |
| 1063871572 | Steven Dolliver | Counselor | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2016-02-12 |
| 1518326180 | Darla Peters | Counselor | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2016-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464470 | April Christina Haukoos | Nurse Practitioner | 1017 W Dixie Ave, Leesburg, FL 34748-6309 | 2009-04-30 |
| 1821258484 | Susan Maureen Archacki-resnik | Nurse Practitioner | Lifestream Behavioral Center, 2020 Tally Rd, Leesburg, FL 34749-1000 | 2008-06-16 |
| 1821163940 | Linda D Stalters | Nurse Practitioner | 43490 Millwright Ter, Leesburg, VA 20176-8466 | 2006-11-22 |
| 1275622375 | Paula K Reilley | Nurse Practitioner | 104 E Dixie Ave, Leesburg, FL 34748-6350 | 2006-10-12 |
| 1952879439 | Mika Lyne Riley | Nurse Practitioner | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2018-11-02 |
| 1689191017 | Yoneka Tahisha Powell | Nurse Practitioner | 104 E Dixie Ave, Leesburg, FL 34748-6350 | 2017-08-25 |
| 1770987570 | Maria Jeffries | Nurse Practitioner | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2014-10-22 |
| 1679892616 | Kristie Johnson | Nurse Practitioner | 215 N 3rd St, Leesburg, FL 34748-5105 | 2010-05-28 |
| 1346261104 | Kathleen Jones-shupe | Nurse Practitioner | 101 S 11th St, Suite1, Leesburg, FL 34748-5767 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
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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.