EXCEPTIONAL CARE CHOICE, LLC (NPI# 1710365051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710365051 |
| Entity Type | Organization |
| Organization Name | EXCEPTIONAL CARE CHOICE, LLC |
| Practice Address |
1632 Sw Ivy St Port St Lucie FL 34987-2248 |
| Practice Telephone | 9172074785 |
| Mailing Telephone | 9172074785 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | GUSTI LABATTE-DENEAU (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7723339319 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9263802 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016402900 | 05 |
| Street Address |
1632 SW IVY ST |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34987-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982863163 | Gusti Labatte-deneau | Nurse Practitioner | 1632 Sw Ivy St, Port St Lucie, FL 34987-2248 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| Find all providers in zip 34987 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252720 | Medina Yasin Solutions LLC | Nurse Practitioner | 19034 Sw Positano Way, Port St Lucie, FL 34986-2882 | 2018-04-12 |
| 1003352881 | Vip Health and Wellness LLC | Nurse Practitioner | 3318 Sw Blue Ct, Port St Lucie, FL 34953-3559 | 2017-01-17 |
| 1083096853 | Jayna Patel | Nurse Practitioner | 630 Sw Palmetto Cv, Port St Lucie, FL 34986-2019 | 2015-06-29 |
| 1467702308 | Myriam Pinchinat-vassor | Nurse Practitioner | 200 Nw Goldcoast Ave, Port St Lucie, FL 34983-1124 | 2012-09-18 |
| 1982863163 | Gusti Labatte-deneau | Nurse Practitioner | 1632 Sw Ivy St, Port St Lucie, FL 34987-2248 | 2008-06-03 |
| 1952314700 | Melissa Jones | Nurse Practitioner | 1801 Se Hillmoor Dr Ste C-109, Port St Lucie, FL 34952-7551 | 2006-08-14 |
| 1972022713 | Amy Jo Paul | Nurse Practitioner | 1701 Se Hillmoor Dr Ste 4, Port St Lucie, FL 34952-7552 | 2017-09-13 |
| 1689066532 | Heather A. Craig | Nurse Practitioner | 451 Sw Bethany Dr, Suite 103, Port St Lucie, FL 34986-1964 | 2015-03-02 |
| 1417918418 | Amy A Ezbianski | Nurse Practitioner | 1801 Se Hillmoor Dr, A110, Port St Lucie, FL 34952-7553 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34987 |
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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.