DEVORA DIONNE FEDRICK (NPI# 1699251959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699251959 |
| Entity Type | Individual |
| Full Name | DEVORA DIONNE FEDRICK |
| Practice Address |
8763 River Crossing Blvd New Port Richey FL 34655 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
| Practice Telephone | 7278428411 |
| Mailing Telephone | 2392748200 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9411595 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8763 RIVER CROSSING BLVD |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898614 | Vivian D Griffin | Radiology | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2005-08-11 |
| 1922625565 | Megan Kahle | Nurse Practitioner | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2020-06-30 |
| 1992286272 | Alfa Lafleur | Nurse Practitioner | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2018-08-24 |
| 1144709296 | Florence Levona Kruse | Nurse Practitioner | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2018-08-09 |
| 1376045757 | Jenette Nicole Rosenlieb | Registered Nurse | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2018-03-01 |
| 1982144291 | Jennifer Elizabeth Strong | Nurse Practitioner | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2017-03-06 |
| 1831544865 | Caitlin Furgeson | Nurse Practitioner | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2016-04-27 |
| 1376935692 | Rhiannon M Fahey | Nurse Practitioner | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2015-02-24 |
| 1043624125 | Patricia L Rogers | Nurse Practitioner | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2014-06-17 |
| 1396012563 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2011-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650563 | Angelika Purkis | Nurse Practitioner | 9410 Adler St, New Port Richey, FL 34654-4503 | 2017-10-16 |
| 1427571785 | Cheryl Ann Stroot | Nurse Practitioner | 5453 Gulf Dr Ste 3, New Port Richey, FL 34652-3903 | 2017-07-19 |
| 1003155110 | Billy Shannon Clay | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2013-02-08 |
| 1043272826 | Melissa Hope Arnett | Nurse Practitioner | 9912 Little Rd, New Port Richey, FL 34654-3419 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34655 |
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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.