ERICKA J MONDOL (NPI# 1679641906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679641906 |
| Entity Type | Individual |
| Full Name | ERICKA J MONDOL |
| Other Name | ERICKA J HUDSON |
| Credential | ARNP |
| Practice Address |
1812 Us Highway 19 Holiday FL 34691-5535 |
| Mailing Address |
3424 W Kennedy Blvd Tampa FL 33609-2906 |
| Practice Telephone | 7279430300 |
| Practice Fax Number | 7279430339 |
| Mailing Telephone | 8138729090 |
| Mailing Fax Number | 8138729191 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9196368 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | ARNP9196368 | 01 |
| Street Address |
1812 US HIGHWAY 19 |
| City | HOLIDAY |
| State | FL |
| Zip Code | 34691-5535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417049230 | Akshay D Desai | Internal Medicine | 1812 Us Highway 19, Holiday, FL 34691-5535 | 2006-09-29 |
| 1538785647 | Kayla Ann Lorenzen | Nurse Practitioner | 1812 Us Highway 19, Holiday, FL 34691-5535 | 2020-06-24 |
| 1710357603 | Family Practice of Florida LLC | Family Medicine | 1812 Us Highway 19, Holiday, FL 34691-5535 | 2015-10-05 |
| 1235545344 | After Care Center of Florida At Holiday LLC | Physician Assistant | 1812 Us Highway 19, Holiday, FL 34691-5535 | 2014-07-09 |
| 1588744429 | Deepa Subramanian | Family Medicine | 1812 Us Highway 19, Holiday, FL 34691-5535 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417407826 | Janet Hernandez | Nurse Practitioner | 2435 Us Hwy 19, Suite 210, Holiday, FL 34691 | 2016-10-10 |
| 1285081869 | Jeannie Giberson | General Acute Care Hospital | 4313 Tahitian Gardens Drive K2, Holiday, FL 34691 | 2016-05-24 |
| 1790108058 | Home Medical Visits LLC | Internal Medicine | 2435 Us Highway 19 Ste 300, Holiday, FL 34691 | 2014-01-22 |
| 1770878712 | Rachel Rosa | Behavioral Analyst | 4249 Plaza Drive #304, Holiday, FL 34691 | 2011-06-17 |
| 1144414574 | Shervin Ardalani | Dentist | 4539 Sunray Drive, None, Holiday, FL 34691 | 2007-08-29 |
| 1245440874 | Gulf Coast Jewish Family Services | Psychiatric Residential Treatment Facility | 3142 Darlington Road, Holiday, FL 34691 | 2007-05-23 |
| 1659416626 | Michael M Shaw | Counselor | 2425 Chatlin Road, Holiday, FL 34691 | 2007-02-20 |
| 1316957947 | George William Lazenby | Ophthalmology | 1109 Us Hwy 19, Holiday, FL 34691 | 2006-08-08 |
| 1770531899 | Rajesh V Patel | Internal Medicine | 1162 Alternate 19 N, Holiday, FL 34691 | 2006-05-04 |
| 1871560904 | Vikram M Atit | Psychiatry & Neurology | 1011 Us Hwy 19, Holiday, FL 34691 | 2006-03-07 |
| Find all providers in zip 34691 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417407826 | Janet Hernandez | Nurse Practitioner | 2435 Us Hwy 19, Suite 210, Holiday, FL 34691 | 2016-10-10 |
| 1841271996 | Cathy R. Kessenich | Nurse Practitioner | 3314 Us Highway 19, Holiday, FL 34691-1846 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770340 | Ashley Mae Fleck | Nurse Practitioner | 3428 Sepia St, West Melbourne, FL 32904-7588 | 2020-11-08 |
| 1356942031 | Jorge Luis Ulloa Capestany | Nurse Practitioner | 6865 W 7th Ave Apt 408, Hialeah, FL 33014-4877 | 2020-11-08 |
| 1316548126 | Mitza Lacroix | Nurse Practitioner | 2670 Sw 83rd Ave, Miramar, FL 33025-7413 | 2020-11-06 |
| 1295336337 | Eduardo Wilfredo Loredo | Nurse Practitioner | 2930 Nw 156th St, Opa Locka, FL 33054-2226 | 2020-11-05 |
| 1962003004 | Yudaisy Salgueiro | Nurse Practitioner | 307 Nw 72nd Ave Apt 319, Miami, FL 33126-4304 | 2020-11-05 |
| 1992306146 | Nicole Lyn Burks | Nurse Practitioner | 11916 W Sample Rd, Coral Springs, FL 33065-4200 | 2020-11-04 |
| 1790386811 | Louise Lorraine Voltaire | Nurse Practitioner | 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 | 2020-11-04 |
| 1750982294 | Hyun-ae Kuh | Nurse Practitioner | 1628 Slash Pine Pl, Oviedo, FL 32765-6270 | 2020-11-02 |
| 1033719687 | Biviana Maria Arroyave | Nurse Practitioner | 2293 Ne 122nd St, North Miami, FL 33181-2910 | 2020-10-30 |
| 1831799790 | Jennmobilemed, Inc. | Nurse Practitioner | 631 Sw 17th Ct, Boca Raton, FL 33486-6413 | 2020-10-29 |
| 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.