TAWANA LIZZMORE (NPI# 1720090038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720090038 |
| Entity Type | Individual |
| Full Name | TAWANA LIZZMORE |
| Practice Address |
11405 Quailhollow Dr Jacksonville FL 32218-3621 |
| Practice Telephone | 9042650340 |
| Practice Fax Number | 9042651906 |
| Mailing Telephone | 9042650340 |
| Mailing Fax Number | 9042651906 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
11405 QUAILHOLLOW DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528259348 | Natalie Lynn Crump | Day Training/Habilitation Specialist | 3015 Cesery Blvd, Jacksonville, FL 32277-3501 | 2007-08-07 |
| 1902013790 | Felicia Woodruff | Day Training/Habilitation Specialist | 303 Randall Dr, Jacksonville, AR 72076-9276 | 2007-05-17 |
| 1346457306 | Shamika N Sparkman | Day Training/Habilitation Specialist | 305 Forest Oak Dr, Jacksonville, AR 72076-3778 | 2007-05-17 |
| 1427167493 | Robin Clemons | Day Training/Habilitation Specialist | 2551 Kohn Rd, Jacksonville, FL 32210-3684 | 2006-08-30 |
| 1679683767 | Dorothy Green | Day Training/Habilitation Specialist | 145 W 40th St, Jacksonville, FL 32206-6441 | 2006-08-30 |
| 1700995792 | Willie Jackson II | Day Training/Habilitation Specialist | 1860 Memory Ln, Jacksonville, FL 32210-1308 | 2006-08-30 |
| 1114036183 | Bernice Lampkin | Day Training/Habilitation Specialist | 10240 Elmhurst Dr, Jacksonville, FL 32218-5417 | 2006-08-30 |
| 1164531125 | Veneranda Tabu | Day Training/Habilitation Specialist | 4047 Corrientes Ct E, Jacksonville, FL 32217-4314 | 2006-08-30 |
| 1093727323 | Rose Byron | Day Training/Habilitation Specialist | 212 W 44th St, Jacksonville, FL 32208-5208 | 2006-08-13 |
| 1104804517 | Angela M Pridgeon | Day Training/Habilitation Specialist | 7026 Vida Ln, Jacksonville, FL 32222-1785 | 2006-01-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on TAWANA LIZZMORE.
| 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.