MISHA RAE CALDWELL (NPI# 1700190030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700190030 |
| Entity Type | Individual |
| Full Name | MISHA RAE CALDWELL |
| Credential | A.R.N.P. |
| Practice Address |
5300 W Hillsboro Blvd Suite 110 Coconut Creek FL 33073-4395 |
| Practice Telephone | 9547941360 |
| Practice Fax Number | 9547941367 |
| Mailing Telephone | 9547941360 |
| Mailing Fax Number | 9547941367 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2015-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9191206 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1700190030 | 05 |
| Street Address |
5300 W HILLSBORO BLVD SUITE 110 |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33073-4395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994528 | Renato Augusto Berger | Pediatrics | 5300 W Hillsboro Blvd, Suite 110, Coconut Creek, FL 33073-4395 | 2005-07-07 |
| 1407456064 | Natacha Etienne | Nurse Practitioner | 5300 W Hillsboro Blvd, Coconut Creek, FL 33073-4395 | 2020-10-31 |
| 1316555972 | Raquel Christina Miret | Counselor | 5300 W Hillsboro Blvd, Coconut Creek, FL 33073-4395 | 2020-07-20 |
| 1144864919 | Preferred Nurse Registry of Florida, LLC | Nursing Care | 5300 W Hillsboro Blvd, Coconut Creek, FL 33073-4395 | 2019-11-04 |
| 1376186437 | Anissa Rodriguez | Family Medicine | 5300 W Hillsboro Blvd, Coconut Creek, FL 33073-4395 | 2019-10-22 |
| 1700276482 | Renato Berger, Md, Pa | Pediatrics | 5300 W Hillsboro Blvd, Suite 110, Coconut Creek, FL 33073-4395 | 2015-02-02 |
| 1689096281 | Manwant Khatkar | Physician Assistant | 5300 W Hillsboro Blvd, Suite 107, Coconut Creek, FL 33073-4395 | 2014-01-16 |
| 1952641680 | Brooke Kern Brock | Nurse Practitioner | 5300 W Hillsboro Blvd, Suite 207, Coconut Creek, FL 33073 | 2013-02-16 |
| 1558620591 | Dusan Dragovic, Md, Fasn, LLC | Internal Medicine | 5300 W Hillsboro Blvd, 206, Coconut Creek, FL 33073-4395 | 2012-05-11 |
| 1265798912 | Ruthpro Incorporated | Orthopaedic Surgery | 5300 W Hillsboro Blvd, Suite 103, Coconut Creek, FL 33073-4395 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1811506173 | Josee Helene Beaudry | Registered Nurse | 7700nw 48th Ave, Coconut Creek, FL 33073 | 2020-07-23 |
| 1700426210 | Stanback Enterprises LLC | Behavioral Analyst | 5561 North Winston Park Boulevard, Apartment 203, Coconut Creek, FL 33073 | 2020-01-13 |
| 1336701101 | Elissa N Tricoche | Behavior Technician | 5500 Hillsboro Blvd, Suite 208, Coconut Creek, FL 33073 | 2019-07-02 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1518420058 | Balance Wellness Therapy Inc | Massage Therapist | 5853 Nw 40th Ave, Coconut Creek, FL 33073 | 2019-04-11 |
| 1497231336 | Brcastrong Corp | Health Educator | 4535 Nw 50th Court, Coconut Creek, FL 33073 | 2018-07-13 |
| 1851885156 | Cintia D Kopecny | Dentist | 5350 W Hillsboro Blvd Ste 201, Coconut Creek, FL 33073 | 2018-06-20 |
| 1720576721 | Sherell Breus | Driver | 4911 W Sample Rd, Coconut Creek, FL 33073 | 2018-04-25 |
| 1376053769 | Christiane Santana | Acupuncturist | 2300 W Sample Rd Ste 213, Pompano Beach, FL 33073 | 2017-10-11 |
| Find all providers in zip 33073 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740647957 | Kayla Mathis-gamble | Nurse Practitioner | 1000 Coconut Creek Blvd, Coconut Creek, FL 33066-1615 | 2016-01-19 |
| 1780672345 | Amy Verlsteffen | Nurse Practitioner | 4570 Lyons Road, Suite 110, Coconut Creek, FL 33073-3481 | 2005-10-07 |
| 1053816272 | Johanna Roche | Nurse Practitioner | 4570 Lyons Rd Ste 110, Coconut Creek, FL 33073-3481 | 2018-03-28 |
| 1669822193 | Marcela Winter | Nurse Practitioner | 4570 Lyons Rd Ste 110, Coconut Creek, FL 33073-3481 | 2016-06-15 |
| 1164758355 | Amy Cheryl Krostich | Nurse Practitioner | 5300 W Hillsboro Blvd., Suite 110, Coconut Creek, FL 33073 | 2009-10-23 |
| 1730323718 | Abigail Rebecca Lee | Nurse Practitioner | 4570 Lyons Rd, Suite 110, Coconut Creek, FL 33073-3481 | 2009-04-22 |
| 1063458248 | Andra M Hanlon | Nurse Practitioner | 4570 Lyons Rd, #110, Coconut Creek, FL 33073-3481 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
| City | COCONUT CREEK |
| Zip Code | 33073 |
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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.