MARIA XIMENA BUSTAMANTE (NPI# 1669982401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669982401 |
| Entity Type | Individual |
| Full Name | MARIA XIMENA BUSTAMANTE |
| Credential | PA-C |
| Practice Address |
4061 Bonita Beach Rd Ste 101 Bonita Springs FL 34134-4073 |
| Practice Telephone | 2393010105 |
| Practice Fax Number | 2392887307 |
| Mailing Telephone | 2393010105 |
| Mailing Fax Number | 2392887307 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9110780 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14350 Metropolis Ave Ste 2, Fort Myers, FL 339124430 | 2393010105 | 2392887307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578735635 | Maria J Bustamante | Nurse Practitioner | 5295e Knight Dr, Tucson, AZ 85712-2147 | 2008-03-29 |
| 1558582502 | Maria Bustamante | Social Worker | 1051 Haskell St., Suite 200, Fort Worth, TX 76107 | 2007-05-01 |
| 1245699206 | Maria Bustamante | Behavior Technician | 500 Fairway Dr, Suite 102, Deerfield Bch, FL 33441-1814 | 2016-02-18 |
| 1265487409 | Maria I Bustamante | Dentist | 121 E Mcmillan St, Cincinnati, OH 45219-2606 | 2006-05-24 |
| 1851389811 | Maria Patricia Bustamante | Nurse Practitioner | 8990 N Washington St, Thornton, CO 80229-4537 | 2005-10-12 |
| Street Address |
4061 BONITA BEACH RD STE 101 |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 34134-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157724 | Guillermo Bohm | Internal Medicine | 4061 Bonita Beach Rd Ste 101, Bonita Springs, FL 34134-4073 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255803706 | Sheila Mourick | Home Health | 3920 Via Del Ray, Suite 4, Bonita Springs, FL 34134 | 2018-12-21 |
| 1447702162 | Averie Bendana | Hearing Instrument Specialist | 15 8th St Suite B, Hoglund Family Hearing, Bonita Springs, FL 34134 | 2016-10-28 |
| 1366990830 | Jordania Psychiatry LLC | Clinic/Center | 25111 Pennyroyal Dr, Bonita Springs, FL 34134 | 2016-09-14 |
| 1447682497 | Shancy Varghese Kanacheril | Pharmacist | 25121 S. Tamiami Trail, Bonita Springs, FL 34134 | 2013-08-01 |
| 1861762163 | Alyssa Haraczy | Pharmacist | 25121 S. Tamiami Trl, Bonita Springs, FL 34134 | 2012-01-04 |
| 1982905659 | Jessica Ann Rosen | Speech-Language Pathologist | 3384 Woods Edge Cir Ste 104, Bonita Springs, FL 34134 | 2010-11-10 |
| 1902116718 | Keenan Chiropractic Pa | Chiropractor | 3388 Woods Edge Circle Suite 102, Bonita Springs, FL 34134 | 2010-10-14 |
| 1659683076 | Amy Marie Mcneal | Massage Therapist | 28811 S. Tamiami Trail Unit 13-14, Bonita Springs, FL 34134 | 2010-07-14 |
| 1740509157 | Sarah Churton | Dermatology | 23471 Walden Center Drive, Suite 300, Bonita Springs, FL 34134 | 2010-05-25 |
| 1609003516 | Ram Prasad Kafle | Family Medicine | 26800 S Tamiami Trl Ste 340, Bonita Springs, FL 34134 | 2009-06-18 |
| Find all providers in zip 34134 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726647 | Michael Johns | Physician Assistant | 9200 Bonita Beach Rd Se Ste 105, Bonita Springs, FL 34135-4277 | 2019-12-10 |
| 1073013249 | Kelsey Diane Craft | Physician Assistant | 24850 S Tamiami Trl Ste 4, Bonita Springs, FL 34134-7010 | 2018-02-14 |
| 1871775585 | Jessie Lynn Hollinger | Physician Assistant | 26455 S Tamiami Trl, Bonita Springs, FL 34134-7815 | 2007-12-04 |
| 1962698811 | Joy K Sensakovic | Physician Assistant | 9240 Bonita Beach Rd Se Ste 1114, Bonita Springs, FL 34135 | 2007-09-24 |
| 1902997208 | Jennifer Sue Healy-fetter | Physician Assistant | 3302 Bonita Beach Rd, # 170, Bonita Springs, FL 34134-4174 | 2006-09-28 |
| 1730282922 | Barbara Carley Hulser | Physician Assistant | 24946 Windward Blvd, Bonita Springs, FL 34134-7149 | 2006-09-06 |
| 1023580891 | Lina M Quintana | Physician Assistant | 8991 Brighton Ln, Bonita Springs, FL 34135-7505 | 2018-12-18 |
| 1639645294 | Elizabeth Mulvey | Physician Assistant | 9240 Bonita Beach Rd Se Ste 1106, Bonita Springs, FL 34135-4250 | 2018-10-22 |
| 1619454295 | Joy of Balance, LLC | Physician Assistant | 9240 Bonita Beach Rd Se Ste 1114, Bonita Springs, FL 34135 | 2018-07-26 |
| 1669907358 | Viktoria Graham | Physician Assistant | 9240 Bonita Beach Rd Se Ste 1106, Bonita Springs, FL 34135-4250 | 2017-05-01 |
| Find all providers in BONITA SPRINGS | ||||
| City | BONITA SPRINGS |
| Zip Code | 34134 |
Please comment or provide details below to improve the information on MARIA XIMENA BUSTAMANTE.
| 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.