THELMA LISSETTE PENA LOZANO (NPI# 1659839934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659839934 |
| Entity Type | Individual |
| Full Name | THELMA LISSETTE PENA LOZANO |
| Practice Address |
3412 19th St Sw Lehigh Acres FL 33976-3509 |
| Practice Telephone | 2393242200 |
| Mailing Telephone | 2393242200 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
3412 19TH ST SW |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33976-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997169 | Yanexis Portilla Cruz | Behavioral Analyst | 3010 50th St Sw, Lehigh Acres, FL 33976 | 2017-08-07 |
| 1396167342 | Aji Kannamala | Pharmacist | 1145 Homestead Rd, Lehigh Acres, Lehigh Acres, FL 33976 | 2014-01-10 |
| 1548606692 | M&l Adult Ffamily Care Home | Custodial Care Facility | 4001 8th Street S.w, Lehigh Acres, FL 33976 | 2013-05-16 |
| 1306369012 | Yvette A Sironel | Custodial Care Facility | 2806 42nd St Sw, Lehigh Acres, FL 33976 | 2017-07-25 |
| 1487189734 | Dayana Soto Vale | Behavior Technician | 1605 Hazel Ave S, Lehigh Acres, FL 33976 | 2017-04-25 |
| 1639672959 | Ketia Michel | Assistant Behavior Analyst | 4104 7th St Sw, Lehigh Acres, FL 33976-2110 | 2018-03-13 |
| 1639794365 | Gerline Die | Occupational Therapy Assistant | 4113 4th St Sw, Lehigh Acres, FL 33976-2131 | 2020-06-09 |
| 1366923328 | Susan Paulhamus | Nurse Practitioner | 3805 7th St Sw, Lehigh Acres, FL 33976-2228 | 2018-08-27 |
| 1336477041 | Roselaine Petit-frere | Nurse's Aide | 3007 11th Street S.w., Lehigh Acres, FL 33976-2529 | 2009-11-19 |
| 1669845889 | Sharlene Daley | Licensed Practical Nurse | 2811 2nd St Sw, Lehigh Acres, FL 33976-2548 | 2015-11-10 |
| Find all providers in zip 33976 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545199 | Stephanie T Booker | Clinic/Center | 1535 Scholar Ct, Lehigh Acres, FL 33971-2047 | 2020-07-16 |
| 1568080489 | Kanisha Shunta Rogers | Clinic/Center | 2808 72nd St W, Lehigh Acres, FL 33971-5824 | 2020-07-07 |
| 1609365022 | Khadijah Giles | Clinic/Center | 2818 19th St W, Lehigh Acres, FL 33971-5579 | 2018-05-02 |
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|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33976 |
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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.