DR. MARCELLINE L GIRLIE (NPI# 1730432899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730432899 |
| Entity Type | Individual |
| Full Name | DR. MARCELLINE L GIRLIE |
| Other Name | DR. MARCELLINE LAZARRE |
| Credential | DNP, ARNP-BC |
| Practice Address |
2140 N Don Wickham Dr Clermont FL 34711 |
| Mailing Address |
Po Box 491000 Leesburg FL 34749-1000 |
| Practice Telephone | 3523157500 |
| Practice Fax Number | 3523157587 |
| Mailing Telephone | 3523157500 |
| Mailing Fax Number | 3523157589 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9350985 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9350985 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008955600 | 05 |
| Street Address |
2140 N DON WICKHAM DR |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033198825 | Carol A Couts | Psychiatry & Neurology | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2006-01-11 |
| 1518436633 | Norma Indira Madera | Counselor | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2018-11-19 |
| 1437650140 | Aziza Bryson | Counselor | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2018-02-27 |
| 1639698822 | Julie M Conrad | Nurse Practitioner | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2017-09-19 |
| 1487027884 | Jennifer From | Counselor | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2015-11-06 |
| 1912391855 | Crystal Duhart | Counselor | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2015-03-27 |
| 1033508932 | Jessica Ongko | Counselor | 2140 N Don Wickham Dr, Clermont, FL 34711 | 2015-01-15 |
| 1508031543 | Olga Kerekes Sanford | Psychiatry & Neurology | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2008-04-29 |
| 1144351636 | Maria L Valdes | Psychiatry & Neurology | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758081 | Shannon Boston | Nurse Practitioner | 19225 Us Highway 27, Clermont, FL 34715-9025 | 2019-12-21 |
| 1639698822 | Julie M Conrad | Nurse Practitioner | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.