TANYA DELANIE SAMUELS (NPI# 1669973640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669973640 |
Entity Type | Individual |
Full Name | TANYA DELANIE SAMUELS |
Practice Address |
502 Camino Real Ct Apt A Brandon FL 33510-3704 |
Practice Telephone | 8134090078 |
Mailing Telephone | 8134090078 |
Enumeration Date | 2018-02-23 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | PROVIDER ENROLLMENT ID | 693227 | 01 |
Street Address |
502 CAMINO REAL CT APT A |
City | BRANDON |
State | FL |
Zip Code | 33510-3704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
Find all providers in zip 33510 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306178694 | Region 8 Mh/mr Commission | Psychologist | 613 Marquette Road, Brandon, MS 39042 | 2010-02-11 |
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1962012310 | Wesley Green | Psychologist | 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 | 2020-07-31 |
1235748500 | Ruth J Keili | Psychologist | 3562 Old Village Dr, Orange Park, FL 32065-5521 | 2020-07-23 |
1609410059 | Barbara Ann Davis | Psychologist | 1324 Fairway Village Dr, Fleming Island, FL 32003-8398 | 2019-10-29 |
1417599531 | Bernice L Walker | Psychologist | 2449 Bracknell Forest Trl, Tavares, FL 32778-5706 | 2019-10-09 |
1013572304 | Alf 8860 Adrd Training Provider LLC. | Psychologist | 7990 Baymeadows Rd E Unit 1001, Jacksonville, FL 32256-2977 | 2019-05-02 |
1114497278 | Tayana Washington | Psychologist | 2008 Se 45th Terr, Gainesville, FL 32641-3264 | 2018-12-03 |
1598251795 | Tez-mia Kimberly Gray | Psychologist | 1100 Lime St Apt 28, Fernandina Beach, FL 32034-4417 | 2018-07-11 |
1205331881 | Tyric Lamont Drummond | Psychologist | 990 62nd Ter S, Saint Petersburg, FL 33705-5819 | 2018-03-27 |
1760998058 | Candace Mckinzie | Psychologist | 2416 Granby St, Sanford, FL 32771-9654 | 2017-12-21 |
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.