LAKETRIA POPE (NPI# 1700342060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700342060 |
Entity Type | Individual |
Full Name | LAKETRIA POPE |
Credential | LPN |
Practice Address |
300 Wilshire Blvd Ste 221 Casselberry FL 32707-5369 |
Practice Telephone | 4079000519 |
Mailing Telephone | 4079000519 |
Enumeration Date | 2019-02-12 |
Last Update Date | 2019-02-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 164W00000X | Licensed Practical Nurse | 5235545 | FL | Nursing Service Providers |
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 101367700 | 05 |
Street Address |
300 WILSHIRE BLVD STE 221 |
City | CASSELBERRY |
State | FL |
Zip Code | 32707-5369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780238949 | Bestacare,llc | Home Health | 300 Wilshire Blvd Ste 221, Casselberry, FL 32707-5369 | 2019-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063905024 | Kirsten Griffin | Durable Medical Equipment & Medical Supplies | 5021 S Us Highway 17/92, Casselberry, FL 32707 | 2018-06-13 |
1255878716 | Breaking Change Services | In Home Supportive Care | 260 S Cypress Way, Cassleberry, FL 32707 | 2017-01-23 |
1891240578 | Faye Gabrielle Burkett | Behavioral Analyst | 1140 Exceller Ct Apt 102, Casselberry, FL 32707 | 2016-08-23 |
1033576095 | Jamerson Lovett | Home Health Aide | 1154 Millrun Circle, Apopka, FL 32707 | 2016-01-21 |
1629460647 | Abby Lewis | Speech-Language Pathologist | 2440 Lake Vista Ct Apt 308, Casselberry, FL 32707 | 2015-02-27 |
1942625439 | Stephanie Kern | Chiropractor | 853 Sr 436, Suite 1001, Casselberry, FL 32707 | 2014-02-20 |
1548681703 | David J. Jenkins, D.c.,p.a. | Chiropractor | 897 East Semoran Blvd, Casselberry, FL 32707 | 2013-12-13 |
1871879338 | The Arbor School of Central Florida | Specialist | 3925 Red Bug Lake Road, Casselberry, FL 32707 | 2011-10-28 |
1982989307 | Ability Rehab | Public Health or Welfare | 520 Reflection Circle, Apt.205, Casselberry, FL 32707 | 2011-10-17 |
1861790149 | The Outsource Group | Case Management | 950 South Winter Park Drive, Suite 120, Casselberry, FL 32707 | 2011-03-10 |
Find all providers in zip 32707 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
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1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
Find all providers with the same taxonomy |
City | CASSELBERRY |
Zip Code | 32707 |
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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.