MR. BLAKELY AUSTIN DEBOARD (NPI# 1720623499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720623499 |
| Entity Type | Individual |
| Full Name | MR. BLAKELY AUSTIN DEBOARD |
| Practice Address |
6000 49th St N St Petersburg FL 33709-2114 |
| Mailing Address |
6918 Neopolitan Ct Apollo Beach FL 33572-1604 |
| Practice Telephone | 7275214411 |
| Mailing Telephone | 8133043383 |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 9444134 | FL | Nursing Service Providers |
| Street Address |
6000 49TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275501058 | Jeffrey Lloyd Alcorn | Physician Assistant | 6000 49th St N, St Petersburg, FL 33709-2114 | 2006-03-09 |
| 1225667926 | Kiyoshi Houston | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-04-04 |
| 1518595016 | Joshua Isaac Wais | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2145 | 2020-03-30 |
| 1477181998 | Dana Marie Jorgenson | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-30 |
| 1790312908 | John Hatch Hughes II | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1598392706 | Richard Allen Gorman II | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1669009866 | Michael Ted Liu | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1679100804 | Cassandra Christine Haggert | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2145 | 2020-03-26 |
| 1144856105 | Kasey Haskins | Registered Nurse | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-20 |
| 1962963983 | Bushra Shariff | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2019-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000265 | Ebony Wright | Registered Nurse | 12000 4th St N Apt 24, St Petersburg, FL 33716-1709 | 2020-10-09 |
| 1114547924 | Raymie Gauchet Gogolen | Registered Nurse | 6730 35th Ter N, St Petersburg, FL 33710-1525 | 2020-04-22 |
| 1235759010 | Carrington's Caring Angels | Registered Nurse | 3110 1st Avenue North, 2i, St Petersburg, FL 33713-8637 | 2020-04-21 |
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1871063875 | Ryan Kilbane | Registered Nurse | 11601 4th St N Apt 2406, St Petersburg, FL 33716-2745 | 2018-12-03 |
| 1881163590 | Tanya Trussel | Registered Nurse | 3641 Tyrone Blvd N Ste 3, St Petersburg, FL 33710-1150 | 2018-11-26 |
| 1023506201 | Terry Rae Dulle | Registered Nurse | 6274 33rd Ave N, St Petersburg, FL 33710-2406 | 2018-04-24 |
| 1598277295 | Jonathan Charles Alexander | Registered Nurse | 701 6th St S Fl 33701, St Petersburg, FL 33701-4814 | 2017-11-02 |
| 1467992891 | Nneka Mbadiwe | Registered Nurse | 76 4th St N, Apt 644, St Petersburg, FL 33731-7155 | 2017-03-05 |
| 1558805051 | Tiffanie Walton | Registered Nurse | 1332 Prescott St S, St Petersburg, FL 33712-2441 | 2016-12-19 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
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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.