MICHAEL LAGOE (NPI# 1730698044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730698044 |
| Entity Type | Individual |
| Full Name | MICHAEL LAGOE |
| Practice Address |
1430 Mason Ave Daytona Beach FL 32117-4551 |
| Practice Telephone | 3862742000 |
| Mailing Telephone | 3862742000 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 9410645 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235304486 | Michael Roy Lagoe | Technician, Other | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2008-04-29 |
| Street Address |
1430 MASON AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487613642 | John A Ortolani | Psychiatry & Neurology | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2006-03-17 |
| 1861019655 | Christopher Godfrey | Physical Medicine & Rehabilitation | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2020-06-29 |
| 1053767921 | Lynn Ann Howard | Nurse Practitioner | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2016-05-10 |
| 1063839793 | Gary Wayne Jay | Pain Medicine | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2014-03-19 |
| 1609117647 | Dna Center LLC | Clinic/Center | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2013-03-14 |
| 1437408812 | Elizabeth C Smith | Nurse Practitioner | 1430 Mason Ave, Daytona Beach, FL 32117 | 2012-08-31 |
| 1841200144 | Michel Van Thielen | Acupuncturist | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2006-08-09 |
| 1962461137 | Jeffrey J Ahmed | Psychiatry & Neurology | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640063 | Kathleen Jenkins | Nurse Practitioner | 303 N Clyde Morris Blvd Ste 550, Daytona Beach, FL 32114-2709 | 2020-08-22 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1295221802 | Angela Marie Moodie | Nurse Practitioner | 921 Redwood St, Daytona Beach, FL 32117-4571 | 2018-07-06 |
| 1669965000 | Jordan Roberson | Nurse Practitioner | 305 Memorial Medical Pkwy Ste 301, Daytona Beach, FL 32117-5157 | 2018-06-11 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1417472242 | Roshanda K. Ivey | Nurse Practitioner | 1001 Great Oaks Dr, Daytona Beach, FL 32117-3124 | 2017-08-14 |
| 1154751634 | Janet M Mayo | Nurse Practitioner | 303 N Clyde Morris Blvd Fl 32114, Daytona Beach, FL 32114-2709 | 2013-11-19 |
| 1811106222 | Ellen M Dethloff | Nurse Practitioner | 303 N Clyde Morris Blvd # 8e, Coordinator Education-clinical Affiliates, Daytona Beach, FL 32114-2709 | 2007-05-22 |
| 1417001611 | Marianne Sweeney | Nurse Practitioner | 431 So. Keech Street, Halifax Health Keech Center, Daytona Beach, FL 32114-4623 | 2007-01-23 |
| 1770514564 | Valerie Karen Messina | Nurse Practitioner | 140 S Beach St Ste 202, Daytona Beach, FL 32114-4409 | 2006-07-06 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.