KRYSALIS (NPI# 1720419880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720419880 |
| Entity Type | Organization |
| Organization Name | KRYSALIS |
| Practice Address |
13607 Pine Villa Lane Fort Myers FL 33912 |
| Practice Telephone | 2394762549 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |
| Authorized Official Name | STEPHANIE L MEYER (PRESIDENT) |
| Authorized Official Telephone | 2394762549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Krysalis Health, LLC | 10735 Cherrington Street, Highlands Ranch, CO 80126 |
| Colorado Business Entities | Krysalis Image LLC | 5200 S. Ulster #1617, Greenwood Village, CO 80111 |
| New York State Corporations | KRYSALIS INSTITUTE, INC. | 70 Snedecor Ave, Bayport, Ny 11705 |
| New York State Corporations | KRYSALIS KOLEKTIV, LLC | 151 Perry Road, Cochecton, Ny 12726 |
| Virginia Business Entities | KRYSALIS LLC | 1108 East Main Street Ste 906 #128, Richmond, Virginia 23219 |
| Washington State Corporations | KRYSALIS STUDIOS, INC. | 2870 Peachtree Rd Nw #915-16239, Atlanta, GA 30305 |
| Colorado Business Entities | Krysalis, LLC | 10735 Cherrington Street, Highlands Ranch, CO 80126 |
| Street Address |
13607 PINE VILLA LANE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275723991 | Oscar Hernan Rodriguez Siguenas | Hospitalist | 1400 Colonial Blvd Ste 203, Fort Myers, FL 33907-1069 | 2007-07-30 |
| 1376064493 | Wolf Bourjolly Lezeau | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-06-28 |
| 1285167379 | Heather Nichole Swedberg | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-04-06 |
| 1467985416 | Kory Andrew Barkley | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-04-06 |
| 1568817385 | Stefani Motkar | Hospitalist | 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901 | 2016-04-29 |
| 1093160921 | Dustin Begosh-mayne | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908 | 2016-04-28 |
| 1588028633 | Ekaterina F. Casmartino | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2016-04-05 |
| 1043628050 | Warlyn Sosa Popoteur | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2014-07-23 |
| 1942615612 | Tameca Bakker | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908 | 2014-06-21 |
| 1083025621 | Aaron Josephson | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2014-05-16 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on KRYSALIS.
| 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.