MS. N. KELLY SPERANZO-OTERO (NPI# 1679797856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679797856 |
| Entity Type | Individual |
| Full Name | MS. N. KELLY SPERANZO-OTERO |
| Credential | ARNP |
| Practice Address |
1403 Medical Plaza Dr Suite 202 Sanford FL 32771-1047 |
| Practice Telephone | 4073223096 |
| Mailing Telephone | 4073223096 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
ARNP9231203 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1679797856 | 01 |
| Street Address |
1403 MEDICAL PLAZA DR SUITE 202 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213234 | Bhupinder S Mangat | Specialist | 1403 Medical Plaza Dr, Ste 204, Sanford, FL 32771-1047 | 2005-05-23 |
| 1164881751 | Matthew Combes | Physician Assistant | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2016-02-11 |
| 1710345723 | Ramon Luis Vega | Chiropractor | 1403 Medical Plaza Dr, Ste 100, Sanford, FL 32771-1000 | 2016-02-04 |
| 1477918415 | The Urology Center | Urology | 1403 Medical Plaza Dr, Suite 101, Sanford, FL 32771-1000 | 2015-12-17 |
| 1548636830 | Paula Wright | Social Worker | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2015-08-20 |
| 1215270764 | Orlando Mota-aquino | Pediatrics | 1403 Medical Plaza Dr, Suite 104, Sanford, FL 32771-1000 | 2013-04-03 |
| 1427340975 | Active Pain and Injury Inc | Pain Medicine | 1403 Medical Plaza Dr, Suite 109, Sanford, FL 32771-1000 | 2011-05-03 |
| 1861636078 | Andrew Craig Skattum | Surgery | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2009-05-01 |
| 1417197393 | Seminole Neurology Associates Pa | Specialist | 1403 Medical Plaza Dr, Suite 204, Sanford, FL 32771-1000 | 2009-03-04 |
| 1700052214 | Jessica K Shutt | Clinical Nurse Specialist | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467493981 | Karen Holt Stone | Clinical Nurse Specialist | 321 Court Sq, Ste A, Sanford, NC 27330-5677 | 2006-06-08 |
| 1366523920 | Susan Mulkern | Clinical Nurse Specialist | 25a June St, Sanford, ME 04073-2642 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801101845 | Nancy J. Miller-houck | Clinical Nurse Specialist | 566 W Marion Ave, Punta Gorda, FL 33950-4439 | 2010-08-14 |
| 1942538046 | Mary Ann Spencer Legler | Clinical Nurse Specialist | 2027 Manatee Ave W, Bradenton, FL 34205-5836 | 2009-12-01 |
| 1245422013 | Lacara L. Mckay | Clinical Nurse Specialist | 4095 State Road 7 Ste 127, Lake Worth, FL 33449-8178 | 2007-08-15 |
| 1093929234 | Parool Desai | Clinical Nurse Specialist | 2055 Military Trl Ste 306, Jupiter, FL 33458-7816 | 2007-05-09 |
| 1659473387 | Kathleen E Piscani | Clinical Nurse Specialist | 14360 Iroquois Ave, Largo, FL 33774-4405 | 2006-09-02 |
| 1285679340 | Linzey Faison Mental Health Associates Inc | Clinical Nurse Specialist | 501 S Bolivar St, Chattahoochee, FL 32324-1347 | 2006-06-20 |
| 1487293296 | Michael Boas | Clinical Nurse Specialist | 919 Ne 13th St, Ft Lauderdale, FL 33304-2009 | 2019-12-26 |
| 1952855330 | Amy Frantz | Clinical Nurse Specialist | 13279 N Cleveland Ave, Fort Myers, FL 33903 | 2016-08-15 |
| 1497123319 | Dr Luisa Vega Dnp LLC | Clinical Nurse Specialist | 8416 Tidal Breeze Dr, Riverview, FL 33569-4722 | 2015-09-09 |
| 1699177915 | The Alternative | Clinical Nurse Specialist | 2750 Bahia Vista St, Suite 108, Sarasota, FL 34239-2600 | 2014-09-17 |
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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.